OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment

IC 33989 under ICR 202411-3220-008 · OMB 3220-0179.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form G-19L
Annual Earnings Questionnaire Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment		 Form
Form G-19L
Annual Earnings Questionnaire Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment		 Form
G-19L Annual Earnings Questionnaire
G-19L (06-22) Current.pdf 		Form
G-19L Annual Earnings Questionnaire
G-19L (XX-XX) Proposed.pdf 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 G-19L No   Paper Only
Form G-19L No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 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.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].