Survivor Questionnaire

Survivor Questionnaire

OMB: 3220-0032

IC ID: 33842

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Survivor Questionnaire
 
No Modified
 
Voluntary
 
20 CFR 234

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RL-94F (10-18) Survivor Questionnaire RL-94F (10-18).pdf No   Paper Only

Income Security Survivor Compensation

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

5,450 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 5,450 0 0 -2,550 0 8,000
Annual IC Time Burden (Hours) 959 0 0 -432 0 1,391
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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