Information Collection

Designation of Contact Officials

IC 34021 under ICR 201702-3220-004 · OMB 3220-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0200 can be found here:

Documents and Forms

Document Name Document Type
Form G-117a (10-13) Designation of Contact Officials Form and Instruction
G-117a (10-13) Designation of Contact Officials Form G-117a (10-13).pdf www.rrb.gov/pdf/AandT/g117a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Designation of Contact Officials	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-117a (10-13)	Designation of Contact Officials	Form G-117a (10-13).pdf	www.rrb.gov/pdf/AandT/g117a.pdf	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	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.