Information Collection

Evidence for Application of Overall Minimum

IC 33887 under ICR 201804-3220-002 · OMB 3220-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-319 (03-18) Evidence for Application of Overall Minimum	Form
G-319 (03-18) Statement Regarding Family and Earnings for Special Guar Form G-319 (03-18).pdf	Form
G-320 (12-17) Student Questionnaire for Special Guaranty Computation Form G-320 (12-17).pdf	Form
Form RL-319 (01-06).pdf Transmittal Letter for RRB Form G-319	IC Document
Form RL-320 (01-06).pdf Transmittal Letter for RRB Form G-320	IC Document
G-77a (11-17).pdf How the Amount of Earnings Affects Payment of Retirement Annuities	IC Document
G-179 (03-09).pdf Special Guaranty in Employee and Spouse Annuities	IC Document
G-316 (11-17).pdf Railroad Retirement Benefits for Students Age 18-19 and in Secondary School	IC Document

IC Title:

Evidence for Application of Overall Minimum

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 229 20 CFR 219.54 20 CFR 219.55

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	G-319 (03-18)	Statement Regarding Family and Earnings for Special Guaranty Computation	Form G-319 (03-18).pdf		No		Paper Only
Form	G-320 (12-17)	Student Questionnaire for Special Guaranty Computation	Form G-320 (12-17).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: 290

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	Previously Approved
Annual Number of Responses for this IC	290	290
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Transmittal Letter for RRB Form G-319	Form RL-319 (01-06).pdf	04/03/2018
Transmittal Letter for RRB Form G-320	Form RL-320 (01-06).pdf	04/03/2018
How the Amount of Earnings Affects Payment of Retirement Annuities	G-77a (11-17).pdf	04/03/2018
Special Guaranty in Employee and Spouse Annuities	G-179 (03-09).pdf	02/27/2015
Railroad Retirement Benefits for Students Age 18-19 and in Secondary School	G-316 (11-17).pdf	04/03/2018

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