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Nonresident Questionnaire
Nonresident Questionnaire
OMB: 3220-0145
IC ID: 44218
OMB.report
RRB
OMB 3220-0145
ICR 202206-3220-003
IC 44218
( )
Documents and Forms
Document Name
Document Type
Form RRB-1001 (08-19)
Nonresident Questionnaire
Form and Instruction
RRB-1001 (08-19) Nonresident Questionnaire
Form RRB-1001 (08-19).pdf
Form and Instruction
RRB-1001 (08-19) Nonresident Questionnaire
Form RRB-1001 (08-19).pdf
Form and Instruction
Form TB-26.pdf
TB-26, Completion Instructions for RRB-1001
IC Document
Form TB-26.pdf
TB-26, Completion Instructions for RRB-1001
IC Document
Form TXL-26.pdf
TXL-26, Transmittal Letter for RRB-1001
IC Document
Form TXL-26.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 (08-19)
Nonresident Questionnaire
Form RRB-1001 (08-19).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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
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
1,300
0
0
0
0
1,300
Annual IC Time Burden (Hours)
650
0
0
0
0
650
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
TB-26, Completion Instructions for RRB-1001
Form TB-26.pdf
06/13/2022
TXL-26, Transmittal Letter for RRB-1001
Form TXL-26.pdf
06/13/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.