Nonresident Questionnaire

ICR 201812-3220-005

OMB: 3220-0145

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2019-06-03
IC Document Collections
IC ID
Document
Title
Status
44218 Modified
ICR Details
3220-0145 201812-3220-005
Active 201506-3220-002
RRB
Nonresident Questionnaire
Revision of a currently approved collection   No
Regular
Approved with change 06/18/2019
Retrieve Notice of Action (NOA) 03/07/2019
The agency corrected mathematical errors in the Supporting Statement.
  Inventory as of this Action Requested Previously Approved
06/30/2022 36 Months From Approved 06/30/2019
1,300 0 1,300
650 0 650
0 0 0

Under the Railroad Retirement Act, the benefits payable to an annuitant living outside the United States may be subject to withholding under Public Laws 98-21 and 98-76. The form obtains the information needed to determine the amount to be withheld.

None
None

Not associated with rulemaking

  83 FR 55580 11/06/2018
84 FR 829 01/31/2019
No

1
IC Title Form No. Form Name
Nonresident Questionnaire RRB-1001, RRB-1001 (08-98) Nonresident Questionnaire ,   Nonresident Questionnaire

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,300 1,300 0 0 0 0
Annual Time Burden (Hours) 650 650 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    Yes
    Yes
No
No
No
Uncollected
Brian Foster 312 751-4826 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/07/2019


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