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Federal forms, ICRs, and supporting documents

Information Collection

Public Service Pension Questionnaires

IC 33931 under ICR 202303-3220-004 · OMB 3220-0136.

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Public Service Pension Questionnaires
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 219.64(c)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-208 (02-17) Public Service Pension Questionnaire Form G-208 (02-17).pdf No   Paper Only
Form G-212 (02-17) Public Service Pension Monitoring Questionnaire Form G-212 (02-17).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   79 FR 58874

1,170 0
   
Individuals or Households
 
   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 1,170 0 0 0 0 1,170
Annual IC Time Burden (Hours) 294 0 0 0 0 294
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3885 Form SSA-3885 (02-18).pdf 06/15/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.