Application for Employee Annuity Under the Railroad Retirement Act

Application for Employee Annuity Under the Railroad Retirement Act

OMB: 3220-0002

IC ID: 178327

Information Collection (IC) Details

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Application for Employee Annuity Under the Railroad Retirement Act
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 220 20 CFR 216

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RRB Form G-204 Verification of Worker's Compensation/Public Disability Form G-204 (11-02).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-22; Railroad Retirement, Survivor, and Pensioner Benefit System   79 FR 58874

20 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 5 0 0 0 0 5
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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