Continuing Disability Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0187 can be found here:

Documents and Forms

Document Name Document Type
Form G-254 (04-17) 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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	G-254 (04-17)	Continuing Disability Report	Form G-254 (04-17).pdf	No	Paper Only
Form and Instruction	G-254A (04-17)	Continuing Disabiltiy Update Report	Form G-254A (04-17).pdf	No	Paper Only
Form and Instruction	RL-8A (Proposed)	Occupational Disability Certification	Form RL-8A (proposed).pdf	No	Paper Only
Form and Instruction	G-254 (Proposed)	Continuing Disability Report	Form G-254 (proposed).pdf	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 %

	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

Title	Document	Date Uploaded
RL-254a; G-254a Transmittal Letter	Form RL-254A (09-07).pdf	04/11/2017
RL-254; G-254 Transmittal Letter	Form RL-254 (06-07).pdf	04/11/2017
Transmittal Letter for Form RL-8A	Form RL-8 (proposed).pdf	04/11/2017

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