Information Collection

Continuing Disability Report

IC 34003 under ICR 202606-3220-012 · OMB 3220-0187.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-254 (08-17) - Cu Continuing Disability Report Continuing Disability Report	Form and Instruction
Form G-254 (08-17) - Cu Continuing Disability Report Continuing Disability Report	Form and Instruction
Form G-254A (04-17) Continuing Disabiltiy Update Report Continuing Disability Report	Form and Instruction
Form G-254A (04-17) Continuing Disabiltiy Update Report Continuing Disability Report	Form and Instruction
Form G-254 (XX-XX) - Pr Continuing Disability Report Continuing Disability Report	Form and Instruction
Form G-254 (XX-XX) - Pr Continuing Disability Report Continuing Disability Report	Form and Instruction
G-254 (08-17) - Cu Continuing Disability Report Form G-254 (08-17).pdf	Form and Instruction
G-254 (08-17) - Cu Continuing Disability Report Form G-254 (08-17).pdf	Form and Instruction
G-254A (04-17) Continuing Disabiltiy Update Report Form G-254A (04-17).pdf	Form and Instruction
G-254A (04-17) Continuing Disabiltiy Update Report Form G-254A (04-17).pdf	Form and Instruction
G-254 (XX-XX) - Pr Continuing Disability Report G-254 (xx-xx) Proposed.pdf	Form and Instruction
G-254 (XX-XX) - Pr Continuing Disability Report G-254 (xx-xx) Proposed.pdf	Form and Instruction
Form RL-254A (09-07).pdf RL-254a; G-254a Transmittal Letter	IC Document
Form RL-254A (09-07).pdf RL-254a; G-254a Transmittal Letter	IC Document
Form RL-254 (06-07).pdf RL-254; G-254 Transmittal Letter	IC Document
Form RL-254 (06-07).pdf RL-254; G-254 Transmittal Letter	IC Document
Form RL-8 (proposed).pdf Transmittal Letter for Form RL-8A	IC Document
Form RL-8 (proposed).pdf Transmittal Letter for Form RL-8A	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Continuing Disability Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 220.186 20 CFR 220.17-20

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	G-254 (08-17) - Current	No	Paper Only
Form and Instruction	G-254A (04-17)	No	Paper Only
Form and Instruction	G-254 (XX-XX) - Proposed	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: 2,750

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	2,750	2,750
Annual IC Time Burden (Hours)	753	753
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RL-254a; G-254a Transmittal Letter		04/11/2017
RL-254; G-254 Transmittal Letter		04/11/2017
Transmittal Letter for Form RL-8A		04/11/2017

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

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