Information Collection

Evidence for Application of Overall Minimum

IC 33887 under ICR 201112-3220-003 · OMB 3220-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0083 can be found here:

Documents and Forms

Document Name Document Type
Form G-319 (01-06) Evidence for Application of Overall Minimum Form
G-319 (01-06) Statement Regarding Family and Earnings for Special Guar Form G-319 (01-06).pdf Form
G-320 (04-06) Student Questionnaire for Special Guaranty Computation Form G-320 (04-06).pdf Form
Form RL-319 (01-06).pdf Transmittal Letter for RRB Form G-319 IC Document
Form RL-320 (01-06).pdf Transmittal Letter for RRB Form G-320 IC Document
G-77a (11-11).pdf How the Amount of Earnings Affects Payment of Retirement Annuities IC Document
G-179 (04-06).pdf Special Guaranty in Employee and Spouse Annuities IC Document
G-316 (01-06).pdf Railroad Retirement Benefits for Students Age 18-19 and in Secondary School IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evidence for Application of Overall Minimum	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 219.55 20 CFR 219.54 20 CFR 229

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-319 (01-06)	Statement Regarding Family and Earnings for Special Guaranty Computation	Form G-319 (01-06).pdf		No		Paper Only
Form	G-320 (04-06)	Student Questionnaire for Special Guaranty Computation	Form G-320 (04-06).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System	FR Citation: 75 FR 43727

Number of Respondents: 555	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	555	80	475
Annual IC Time Burden (Hours)	371	107	264
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Transmittal Letter for RRB Form G-319	Form RL-319 (01-06).pdf	12/30/2008
Transmittal Letter for RRB Form G-320	Form RL-320 (01-06).pdf	12/30/2008
How the Amount of Earnings Affects Payment of Retirement Annuities	G-77a (11-11).pdf	01/09/2012
Special Guaranty in Employee and Spouse Annuities	G-179 (04-06).pdf	12/30/2008
Railroad Retirement Benefits for Students Age 18-19 and in Secondary School	G-316 (01-06).pdf	12/30/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.