Nonresident Questionnaire

ICR 201506-3220-002

OMB: 3220-0145

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2015-07-01
IC Document Collections
IC ID
Document
Title
Status
44218 Modified
ICR Details
3220-0145 201506-3220-002
Historical Active 201208-3220-002
RRB
Nonresident Questionnaire
Extension without change of a currently approved collection   No
Regular
Approved without change 03/30/2016
Retrieve Notice of Action (NOA) 10/09/2015
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved 03/31/2016
1,300 0 1,300
650 0 650
0 0 0

Under the Railroad Retirement Act, the benefits payable to an annuitant living outside the United States may be subject to withholding under Public Laws 98-21 and 98-76. The form obtains the information needed to determine the amount to be withheld.

None
None

Not associated with rulemaking

  80 FR 36862 06/26/2015
80 FR 58525 09/29/2015
No

1
IC Title Form No. Form Name
Nonresident Questionnaire RRB-1001 (08-98) Nonresident Questionnaire

  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 1,300 1,300 0 0 0 0
Annual Time Burden (Hours) 650 650 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
No
No
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/09/2015


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