Employer's Deemed Service Month Questionnaire

Employer's Deemed Service Month Questionnaire

OMB: 3220-0156

IC ID: 44219

Information Collection (IC) Details

View Information Collection (IC)

Employer's Deemed Service Month Questionnaire
 
No Modified
 
Mandatory
 
20 CFR 210

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction GL-99 (10-18) Employer's Deemed Service Months Questionnaire Form GL-99 (10-18).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-5, Master File of Railroad Employees Service and Compensation  79 FR 58874

150 0
   
Private Sector Businesses or other for-profits
 
   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 2,000 0 0 0 0 2,000
Annual IC Time Burden (Hours) 67 0 0 0 0 67
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Employer Reporting Instructions Employer Reporting Instructions (02-19).pdf 02/27/2019
Form BA-3, Annual Report of Creditable Compensation BA-3 (Internet) (01-12).pdf 03/21/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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