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Request to Non-Railroad Employer for Information About Annuitants Work and Earnings
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings
OMB: 3220-0107
IC ID: 33910
OMB.report
RRB
OMB 3220-0107
ICR 202411-3220-004
IC 33910
( )
Documents and Forms
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
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings
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:
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)
Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings
Form RL-231-F (01-18).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:
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
0
0
0
300
Annual IC Time Burden (Hours)
150
0
0
0
0
150
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Annual Earnings Questionnaire
Form G-19L (02-18).pdf
06/29/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.