Information Collection

Nonresident Questionnaire

IC 44218 under ICR 202504-3220-001 · OMB 3220-0145.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RRB-1001 (08-19) Nonresident Questionnaire	Form and Instruction
Form RRB-1001 (08-19) Nonresident Questionnaire Nonresident Questionnaire	Form and Instruction
Form RRB 1001 (XX-XX) Nonresident Questionnaire Nonresident Questionnaire	Form and Instruction
RRB-1001 (08-19) Nonresident Questionnaire Form RRB-1001 (08-19).pdf	Form and Instruction
RRB-1001 (08-19) Nonresident Questionnaire Form RRB-1001 (08-19).pdf	Form and Instruction
RRB 1001 (XX-XX) Nonresident Questionnaire Form RRB-1001 (XX-XX) Proposed.pdf	Form and Instruction
RRB 1001 (XX-XX) Nonresident Questionnaire Form RRB-1001 (XX-XX) Proposed.pdf	Form and Instruction
Form TB-26.pdf TB-26, Completion Instructions for RRB-1001	IC Document
Form TB-26.pdf TB-26, Completion Instructions for RRB-1001	IC Document
Form TXL-26.pdf TXL-26, Transmittal Letter for RRB-1001	IC Document
Form TXL-26.pdf TXL-26, Transmittal Letter for RRB-1001	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	RRB-1001 (08-19)				No		Paper Only
Form and Instruction	RRB 1001 (XX-XX)				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 Systems

FR Citation: 79 FR 58874

Number of Respondents: 1,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TB-26, Completion Instructions for RRB-1001		06/13/2022
TXL-26, Transmittal Letter for RRB-1001		06/13/2022

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

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