Information Collection

Continuing Disability Report

IC 34003 under ICR 201506-3220-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form G-254 (01-15) Continuing Disability Report	Form and Instruction
G-254 (01-15) Continuing Disability Report Form G-254 (01-15).pdf	Form and Instruction
G-254A (04-12) Continuing Disability Update Report Form G-254A (04-12).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
Form RL-254 (06-07).pdf RL-254; G-254 Transmittal Letter	IC Document

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 220.17-20 20 CFR 220.186

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	G-254 (01-15)	Continuing Disability Report	Form G-254 (01-15).pdf	No	Paper Only
Form	G-254A (04-12)	Continuing Disability Update Report	Form G-254A (04-12).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: 79 FR 58874

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
RL-254a; G-254a Transmittal Letter	Form RL-254A (09-07).pdf	12/29/2008
RL-254; G-254 Transmittal Letter	Form RL-254 (06-07).pdf	06/04/2015

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