Nonresident Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0145 can be found here:

Documents and Forms

Document Name Document Type
Form RRB-1001 (08-98) Nonresident Questionnaire Form and Instruction
RRB-1001 (08-98) Nonresident Questionnaire Form RRB-1001 (08-98).pdf Form and Instruction
RRB-1001 Nonresident Questionnaire Form RRB-1001 (proposed).pdf Form and Instruction
Form TB-26 (12-09).pdf TB-26, Completion Instructions for RRB-1001 IC Document
Form TXL-26 (09-08).pdf TXL-26, Transmittal Letter for RRB-1001 IC Document
Form TB-26 (xx-xx).pdf TB-26, Completion Instructions for RRB-1001 IC Document
Form TXL-26 (proposed).pdf TXL-26, Transmittal Letter for RRB-1001 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nonresident Questionnaire	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	RRB-1001 (08-98)	Nonresident Questionnaire	Form RRB-1001 (08-98).pdf		No		Paper Only
Form and Instruction	RRB-1001	Nonresident Questionnaire	Form RRB-1001 (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 Systems	FR Citation: 79 FR 58874

Number of Respondents: 1,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
TB-26, Completion Instructions for RRB-1001	Form TB-26 (12-09).pdf	12/21/2018
TXL-26, Transmittal Letter for RRB-1001	Form TXL-26 (09-08).pdf	06/11/2015
TB-26, Completion Instructions for RRB-1001	Form TB-26 (xx-xx).pdf	12/21/2018
TXL-26, Transmittal Letter for RRB-1001	Form TXL-26 (proposed).pdf	12/21/2018

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