Application for Spouse Annuity Under the Railroad Retirement Act

Application for Spouse Annuity Under the Railroad Retirement Act

OMB: 3220-0042

IC ID: 33861

Information Collection (IC) Details

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Application for Spouse Annuity Under the Railroad Retirement Act
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 218.11 20 CFR 216.50

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-3 (current )(05-10) Application for Spouse/Divorced Spouse Annuity Form AA-3 (05-10).pdf Yes No Paper Only
Form AA-3 (proposed) Application for Spouse/Divorced Spouse Annuity Form AA-3 Proposed.pdf No   Paper Only
Form AA-3cert Application Summary and Certification Form AA-3cert (09-07).pdf Yes Yes Fillable Printable
Form and Instruction AA-3cert (all possible) Application Summary and Certification Form AA-3cert (09-07) all possible.pdf Yes Yes Fillable Printable
Form AA-3cert (proposed) (all possible) Application Summary and Certfication Form AA-3cert Proposed (All Possible).pdf Yes Yes Fillable Printable
Form AA-3cert (proposed) (completed) Application Summary and Certification Form AA-3cert Proposed (Completed).pdf Yes Yes Fillable Printable
Form AA-3sum (proposed)(all possible) Application Summary Form AA-3sum Proposed (All Possible).pdf Yes Yes Fillable Printable
Form AA-3sum(proposed)(completed) Application Summary Form AA-3sum Proposed (Completed).pdf Yes Yes Fillable Printable

Income Security Survivor Compensation

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   75 FR 43727

11,050 0
   
Individuals or Households
 
   98 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11,050 0 0 0 0 11,050
Annual IC Time Burden (Hours) 5,324 0 -318 0 0 5,642
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RL-1 Form RL-1 (04-07).pdf 02/25/2010
RB-3, Furnishing Evidence To Support Your Claim Form RB-3 (11-08).pdf 02/25/2010
RB-30, Spouse/Divorced Spouse Annuity Form RB-30 (05-09).pdf 02/25/2010
RB-9, Employee and Spouse Annuities - Events That Must Be Reported Form RB-09 (03-09).pdf 02/25/2010
AA-7, Spouse/Divorced Application for Medicare Form AA-7 (01-12).pdf 12/05/2012
G-208, Public Service Pension Questionnaire Form G-208 (04-11).pdf 12/05/2012
G-19F, Earnings Information Request Form G-19F (10-07).pdf 02/25/2010
RB-30 (page revision) proposed RB-30 Page Revision.pdf 12/05/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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