Information Collection Request
Self-Employment and Substantial Service Questionnaire
ICR 202305-3220-001 · OMB 3220-0138 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3220-0138 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form AA-4 (01-08) Self-Employment Questionnaire |
Form and Instruction | Unchanged | Available |
| Form AA-4 (01-08) Self-Employment Questionnaire |
Form and Instruction | Unchanged | Repair queued |
 Request OMB Approval of NonSubstantive Change to ICR 3220-0138_Signed.pdf |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-05-03 | Available |
| Request OMB Approval of NonSubstantive Change to ICR 3220-0138_Signed.pdf |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-05-03 | Repair queued |
 3220-0138.docx |
Supporting Statement A | Uploaded 2020-05-22 | Available |
| 3220-0138.docx |
Supporting Statement A | Uploaded 2020-05-22 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 33934 |  Self-Employment Questionnaire |
Form and Instruction | Unchanged | |
| 33934 | Self-Employment Questionnaire |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | RRB |
| OMB Control No | 3220-0138 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202005-3220-002 |
| Date Submitted to OIRA | 2023-05-03 |
| Requested Expiration Date | 1969-12-31 |