Application for Spouse Annuity Under the Railroad Retirement Act

ICR 202204-3220-003

OMB: 3220-0042

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2022-04-21
IC Document Collections
ICR Details
3220-0042 202204-3220-003
Received in OIRA 201812-3220-004
RRB
Application for Spouse Annuity Under the Railroad Retirement Act
Extension without change of a currently approved collection   No
Regular 04/28/2022
  Requested Previously Approved
36 Months From Approved 05/31/2022
9,700 11,000
4,791 5,423
0 0

The Railroad Retirement Act provides for the payment of annuities to spouses of railroad retirement annuitants who meet the requirements under the Act. The application obtains information supporting the claim for benefits based on being a spouse of an annuitant. The information is used for determining entitlement to and amount of the annuity applied for.

US Code: 45 USC 231a Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  87 FR 8619 02/15/2022
87 FR 25058 04/27/2022
No

1
IC Title Form No. Form Name
Application for Spouse Annuity Under the Railroad Retirement Act AA-3sum (completed) , AA-3sum (all possible) , AA-3cert (all possible), AA-3cert (completed) Application Summary and Certification ,   Application Summary and Certification ,   Application Summary ,   Application Summary

  Total Request 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 9,700 11,000 0 -1,300 0 0
Annual Time Burden (Hours) 4,791 5,423 0 -632 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The estimated total number of responses and burden for this collection has decreased due to the decrease in the annual number of retirements, as well as, more accurate ways of determining annual AA-3 responses.

$0
No
    Yes
    Yes
No
No
No
No
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.
04/28/2022


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