Information Collection

Continuing Disability Report

IC 34003 under ICR 201610-3220-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 (04-17) Continuing Disability Report Continuing Disability Report	Form and Instruction
Form G-254A (04-17) Continuing Disabiltiy Update Report Continuing Disability Report	Form and Instruction
Form RL-8A (Proposed) Occupational Disability Certification Continuing Disability Report	Form and Instruction
Form G-254 (Proposed) Continuing Disability Report Continuing Disability Report	Form and Instruction
G-254 (04-17) Continuing Disability Report Form G-254 (04-17).pdf	Form and Instruction
G-254A (04-17) Continuing Disabiltiy Update Report Form G-254A (04-17).pdf	Form and Instruction
RL-8A (Proposed) Occupational Disability Certification Form RL-8A (proposed).pdf	Form and Instruction
G-254 (Proposed) Continuing Disability Report Form G-254 (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
Form RL-8 (proposed).pdf Transmittal Letter for Form RL-8A	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 220.186 20 CFR 220.17-20

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	G-254 (04-17)	No	Paper Only
Form and Instruction	G-254A (04-17)	No	Paper Only
Form and Instruction	RL-8A (Proposed)	No	Paper Only
Form and Instruction	G-254 (Proposed)	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: 1,800

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,400	400	3,000
Annual IC Time Burden (Hours)	848	100	748
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RL-254a; G-254a Transmittal Letter		04/11/2017
RL-254; G-254 Transmittal Letter		04/11/2017
Transmittal Letter for Form RL-8A		04/11/2017

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

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