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Federal forms, ICRs, and supporting documents

Information Collection

Survivor Questionnaire

IC 33842 under ICR 202601-3220-002 · OMB 3220-0032.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Survivor Questionnaire
 
No Modified
 
Voluntary
 
20 CFR 234

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RL-94F (01-23) Survivor Questionnaire RL-94F (01-23) Survivor Questionnaire.docx No   Paper Only

Income Security Survivor Compensation

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   79 FR 58874

5,450 0
   
Individuals or Households
 
   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 5,450 0 0 0 0 5,450
Annual IC Time Burden (Hours) 959 0 0 0 0 959
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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