Employer's Deemed Service Month Questionnaire

ICR 202209-3220-004

OMB: 3220-0156

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement A
2022-09-20
Supplementary Document
2019-04-18
IC Document Collections
ICR Details
3220-0156 202209-3220-004
Received in OIRA 201902-3220-004
RRB
Employer's Deemed Service Month Questionnaire
Extension without change of a currently approved collection   No
Regular 09/21/2022
  Requested Previously Approved
36 Months From Approved 09/30/2022
2,000 2,000
67 67
0 0

Under Section 3(i) of the Railroad Retirement Act, the Railroad Retirement Board may deem months of service in cases where an employee does not actually work in every month of the year. The collection obtains service and compensation information from railroad employers needed to determine if an employee may be credited with additional months of railroad service.

US Code: 45 USC 231(f) et.seq. Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  87 FR 42218 07/14/2022
87 FR 57527 09/20/2022
No

1
IC Title Form No. Form Name
Employer's Deemed Service Month Questionnaire GL-99 (10-18) Employer's Deemed Service Months Questionnaire

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 67 67 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    Yes
    No
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.
09/21/2022


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