Statement Regarding Contributions and Support

Statement Regarding Contributions and Support

OMB: 3220-0099

IC ID: 33902

Information Collection (IC) Details

View Information Collection (IC)

Statement Regarding Contributions and Support
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 222.41(4) 20 CFR 216.81

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-134 Statement Regarding Contributions and Support G-134 (10-05).pdf No   Paper Only

Income Security General Retirement and Disability

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

100 0
   
Individuals or Households
 
   0 %

  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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 259 0 0 0 0 259
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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