Information Collection

Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

IC 33910 under ICR 202411-3220-004 · OMB 3220-0107.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RL-231-F (01-18) Request to Non-Railroad Employer for Information About Annuitants Work and Earnings	Form and Instruction
Form RL-231-F (01-18) Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings Request to Non-Railroad Employer for Information About Annuitants Work and Earnings	Form and Instruction
RL-231-F (01-18) Request to Non-Railroad Employer for Information About A Form RL-231-F (01-18).pdf	Form and Instruction
RL-231-F (01-18) Request to Non-Railroad Employer for Information About A Form RL-231-F (01-18).pdf	Form and Instruction
Form G-19L (02-18).pdf Annual Earnings Questionnaire	IC Document
Form G-19L (02-18).pdf Annual Earnings Questionnaire	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 230.1 20 CFR 230.2

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	RL-231-F (01-18)				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: 300

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	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Annual Earnings Questionnaire		06/29/2021

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

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