Information Collection

Job Information Report

IC 34010 under ICR 201606-3220-001 · OMB 3220-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-251A Job Information Report	Form and Instruction
G-251A Railroad Job Information Form G-251A (Proposed).pdf	Form and Instruction

IC Title:

Job Information Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 220.13

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-251A	Railroad Job Information	Form G-251A (Proposed).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: Railroad Retirement, Survivor and Pensioner Benefit System

FR Citation: 79 FR 58874

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	500	70	430
Annual IC Time Burden (Hours)	500	356	144
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.