Employee Non-Covered Service
Pension Questionnaire
Extension without change of a currently approved collection
No
Regular
12/10/2020
Requested
Previously Approved
36 Months From Approved
01/31/2021
150
150
14
14
0
0
Under Section 3 of the Railroad
Retirement Act, the Tier I portion of an employee annuity may be
subjected to a reduction for benefits received based on work not
covered under the Social Security Act or Railroad Retirement Act.
The questionnaire obtains the information needed to determine if
the reduction applies and the amount of such reduction.
PL:
Pub.L. 100 - 647 8011 Name of Law: The Technical and
Miscellaneous Revenue Act of 1988
US Code: 42
USC 415 Name of Law: Social Security Act
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.