Student Beneficiary Monitoring

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form G-315 (proposed) Student Questionnaire	Form	Modified	Available
Form G-315 Student Questionnaire	Form	Modified	Available
Form G-315A.1 (proposed School Official's Notice of Cessation of Full-Time School Attendance	Form and Instruction	Modified	Available
Form G-315A (proposed) Statement of School Official	Form and Instruction	Modified	Available
Form G-315A.1 School Official's Notice of Cessation of Full-Time Attendance	Form and Instruction	Modified	Available
Form G-315A Statement of School Official	Form and Instruction	Modified	Available
3220-0123.doc	Supporting Statement A	Uploaded 2014-12-16	Available
Form RL-315A1 (01-06).pdf	Supplementary Document	Uploaded 2008-09-23	Repair queued
Form RL-315A (01-06).pdf	Supplementary Document	Uploaded 2008-09-23	Repair queued
Form RL-315 (01-06).pdf	Supplementary Document	Uploaded 2008-09-23	Repair queued
Booklet G-316 (03-09).pdf	Supplementary Document	Uploaded 2014-11-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33915	Student Beneficiary Monitoring	Form	Modified	Student Questionnaire
33915	Student Beneficiary Monitoring	Form	Modified	Student Questionnaire
186682	Statement from School Officials	Form and Instruction	Modified	School Official's Notice of Cessation of Full-Time School Attendance
186682	Statement from School Officials	Form and Instruction	Modified	Statement of School Official
186682	Statement from School Officials	Form and Instruction	Modified	School Official's Notice of Cessation of Full-Time Attendance
186682	Statement from School Officials	Form and Instruction	Modified	Statement of School Official

ICR Details

OMB Control No: 3220-0123	ICR Reference No: 201411-3220-002
Status: Historical Active	Previous ICR Reference No: 201110-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Student Beneficiary Monitoring
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/11/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/16/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved	03/31/2015
Responses	900	0	900
Time Burden (Hours)	217	0	217
Cost Burden (Dollars)	0	0	0

---

Abstract: Under the Railroad Retirement Act (RRA), a student benefit is not payable if the student ceases full-time school attendance, marries, works in the railroad industry, has excessive earnings or attains the upper age limit under the RRA. The report obtains information to be used to determine if benefits should cease or be reduced.

---

Authorizing Statute(s): US Code: 45 USC 231 Name of Law: Railroad Retirement Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 57988	09/26/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 72034	12/04/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Statement from School Officials	G-315A (proposed), G-315A.1 (proposed), G-315A, G-315A.1	Statement of School Official ,   School Official's Notice of Cessation of Full-Time Attendance ,   Statement of School Official ,   School Official's Notice of Cessation of Full-Time School Attendance
Student Beneficiary Monitoring	G-315, G-315 (proposed)	Student Questionnaire ,   Student Questionnaire

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	900	900	0	0	0	0
Annual Time Burden (Hours)	217	217	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/16/2014

---