Information Collection

Employee Representative's Status and Compensation Reports

IC 44216 under ICR 201511-3220-001 · OMB 3220-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DC-2 (10-12) Employee Representative's Status and Compensation Reports Form and Instruction
DC-2 (10-12) Employee Representative's Report of Compensation Form DC-2 (10-12).pdf Form and Instruction
DC-2A (10-12) Employee Representative's Status Report Form DC-2a (10-12).pdf Form and Instruction
DC-2A Proposed Employee Representative's Status Report Form DC-2a proposed.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employee Representative's Status and Compensation Reports	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 209.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	DC-2 (10-12)	Employee Representative's Report of Compensation	Form DC-2 (10-12).pdf	No	Paper Only
Form and Instruction	DC-2A (10-12)	Employee Representative's Status Report	Form DC-2a (10-12).pdf	No	Paper Only
Form and Instruction	DC-2A Proposed	Employee Representative's Status Report	Form DC-2a proposed.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-5, Master File of Railroad Employee's Creditable Compensation Program	FR Citation: 79 FR 58874

Number of Respondents: 82	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	82	14	68
Annual IC Time Burden (Hours)	41	7	34
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.