Information Collection

Evidence for Application of Overall Minimum

IC 33887 under ICR 202411-3220-003 · OMB 3220-0083.

Documents and Forms

Document Name Document Type
Form G-319 (03-18) Evidence for Application of Overall Minimum Form
G-319 (03-18) Statement Regarding Family and Earnings for Special Guar Form G-319 (03-18).pdf Form
G-319 (03-18) Statement Regarding Family and Earnings for Special Guar Form G-319 (03-18).pdf Form
G-320 (12-17) Student Questionnaire for Special Guaranty Computation Form G-320 (12-17).pdf Form
G-320 (12-17) Student Questionnaire for Special Guaranty Computation Form G-320 (12-17).pdf Form
G-319 (XX-XX) Prop Statement Regarding Family and Earnings for Special Guar G-319 Proposed (XX-XX).pdf Form
G-319 (XX-XX) Prop Statement Regarding Family and Earnings for Special Guar G-319 Proposed (XX-XX).pdf Form
Form RL-319 (01-06).pdf Transmittal Letter for RRB Form G-319 IC Document
Form RL-319 (01-06).pdf Transmittal Letter for RRB Form G-319 IC Document
Form RL-320 (01-06).pdf Transmittal Letter for RRB Form G-320 IC Document
Form RL-320 (01-06).pdf Transmittal Letter for RRB Form G-320 IC Document
G-179 (03-09).pdf Special Guaranty in Employee and Spouse Annuities IC Document
G-179 (03-09).pdf Special Guaranty in Employee and Spouse Annuities IC Document
G-316 (11-17).pdf Railroad Retirement Benefits for Students Age 18-19 and in Secondary School IC Document
G-316 (11-17).pdf Railroad Retirement Benefits for Students Age 18-19 and in Secondary School IC Document
G-77A (12-23).pdf How Work Affects your Railroad Retirement Benefits IC Document
G-77A (12-23).pdf How Work Affects your Railroad Retirement Benefits IC Document
G-77 (12-23).pdf How Earnings Affect Payment of Survivor Annuities IC Document
G-77 (12-23).pdf How Earnings Affect Payment of Survivor Annuities IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evidence for Application of Overall Minimum	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 219.54 20 CFR 219.55 20 CFR 229

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	G-319 (03-18)	Statement Regarding Family and Earnings for Special Guaranty Computation	Form G-319 (03-18).pdf	No	Paper Only
Form	G-320 (12-17)	Student Questionnaire for Special Guaranty Computation	Form G-320 (12-17).pdf	No	Paper Only
Form	G-319 (XX-XX) Proposed	Statement Regarding Family and Earnings for Special Guaranty Computation	G-319 Proposed (XX-XX).pdf	No	Paper Only

Federal Enterprise Architecture Business Reference Module

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: 290	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	290	290
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Transmittal Letter for RRB Form G-319	Form RL-319 (01-06).pdf	04/03/2018
Transmittal Letter for RRB Form G-320	Form RL-320 (01-06).pdf	04/03/2018
Special Guaranty in Employee and Spouse Annuities	G-179 (03-09).pdf	02/27/2015
Railroad Retirement Benefits for Students Age 18-19 and in Secondary School	G-316 (11-17).pdf	04/03/2018
How Work Affects your Railroad Retirement Benefits	G-77A (12-23).pdf	11/25/2024
How Earnings Affect Payment of Survivor Annuities	G-77 (12-23).pdf	11/25/2024

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