Information Collection

Designation of Contact Officials

IC 34021 under ICR 202308-3220-006 · OMB 3220-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-117a (10-13) Designation of Contact Officials	Form and Instruction
Form G-117a (10-13) Designation of Contact Officials Designation of Contact Officials	Form and Instruction
Form G-117a (XX-XX) Designation of Contact Officials Designation of Contact Officials	Form and Instruction
Form G-117a Designation of Contact Officials Designation of Contact Officials	Form and Instruction
G-117a (10-13) Designation of Contact Officials Form G-117a (10-13).pdf	Form and Instruction
G-117a (10-13) Designation of Contact Officials Form G-117a (10-13).pdf	Form and Instruction
G-117a (XX-XX) Designation of Contact Officials Form G-117a (XX-XX) - Proposed.pdf	Form and Instruction
G-117a (XX-XX) Designation of Contact Officials Form G-117a (XX-XX) - Proposed.pdf	Form and Instruction
G-117a Designation of Contact Officials G-117a (08-22) - Internet.docx	Form and Instruction
G-117a Designation of Contact Officials G-117a (08-22) - Internet.docx	Form and Instruction

IC Title:

Designation of Contact Officials

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-117a (10-13)	www.rrb.gov/pdf/AandT/g117a.pdf	Yes	No	Fillable Printable
Form and Instruction	G-117a (XX-XX)		Yes	Yes	Fillable Printable
Form and Instruction	G-117a		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 225

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 89 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	225	125	100
Annual IC Time Burden (Hours)	23	-2	25
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].