Certification of Termination of Service and Relinquishment of Rights

Certification of Termination of Service and Relinquishment of Rights

OMB: 3220-0016

IC ID: 33819

Information Collection (IC) Details

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Certification of Termination of Service and Relinquishment of Rights
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 216.24

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-88 (04-17) Certification of Termination of Service and Relinquishment of Rights Form G-88 (04-17).pdf No   Paper Only

Income Security General Retirement and Disability

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

3,600 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 3,600 0 0 0 0 3,600
Annual IC Time Burden (Hours) 360 0 0 0 0 360
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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