Information Collection

Continuing Disability Report

IC 34003 under ICR 201202-3220-001 · OMB 3220-0187.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0187 can be found here:

Documents and Forms

Document Name Document Type
Form G-254 (12-11) Continuing Disability Report Form and Instruction
G-254 (12-11) Continuing Disability Report Form G-254 (12-11).pdf Form and Instruction
G-254A (02-06) Continuing Disability Update Report Form G-254A (02-06).pdf Form
G-254 (proposed) Continuing Disability Report Form G-254 (proposed).pdf Form and Instruction
G-254A(proposed) Continuing Disabiltiy Update Report Form G-254A (proposed).pdf Form and Instruction
Form RL-254A (09-07).pdf RL-254a; G-254a Transmittal Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Continuing Disability Report	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 220.186 20 CFR 220.17-20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	G-254 (12-11)	Continuing Disability Report	Form G-254 (12-11).pdf	No	Paper Only
Form	G-254A (02-06)	Continuing Disability Update Report	Form G-254A (02-06).pdf	No	Paper Only
Form and Instruction	G-254 (proposed)	Continuing Disability Report	Form G-254 (proposed).pdf	No	Paper Only
Form and Instruction	G-254A(proposed)	Continuing Disabiltiy Update Report	Form G-254A (proposed).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: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	748	748
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RL-254a; G-254a Transmittal Letter	Form RL-254A (09-07).pdf	12/29/2008

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