Information Collection

Job Information Report

IC 34010 under ICR 202403-3220-003 · OMB 3220-0193.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-251A (07-20) Job Information Report	Form and Instruction
G-251A (07-20) Railroad Job Information Form G-251A (07-20).pdf	Form and Instruction
G-251A (07-20) Railroad Job Information Form G-251A (07-20).pdf	Form and Instruction
Form RL-251A (03-17).pdf RL-251A, Railroad Job Information Cover Letter	IC Document
Form RL-251A (03-17).pdf RL-251A, Railroad Job Information Cover Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 220.13

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-251A (07-20)	Railroad Job Information	Form G-251A (07-20).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: Railroad Retirement, Survivor and Pensioner Benefit System

FR Citation: 79 FR 58874

Number of Respondents: 436

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	436	-64	500
Annual IC Time Burden (Hours)	436	-64	500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RL-251A, Railroad Job Information Cover Letter	Form RL-251A (03-17).pdf	06/01/2017

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