Information Collection

Authorization to Disclose Information to the Railroad Retirement Board

IC 185886 under ICR 202312-3220-002 · OMB 3220-0038.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-197 Authorization to Disclose Information to the Railroad Retirement Board	Form and Instruction
G-197 Authorization to Disclose Information to the Railroad Re Form G-197 (01-21).pdf	Form and Instruction
G-197 Authorization to Disclose Information to the Railroad Re Form G-197 (01-21).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 220

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-197	Authorization to Disclose Information to the Railroad Retirement Board	Form G-197 (01-21).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System

FR Citation: 79 FR 58874

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	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.