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Federal forms, ICRs, and supporting documents

OMB control number

Railroad Employment Questionnaire

OMB 0960-0078 ยท SSA.

OMB 0960-0078

The Social Security Administration (SSA) coordinates with the Railroad Retirement Board (RRB) to provide an integrated system of benefits to railroad workers, their dependents, and their surviving family members. SSA uses form SSA-671, the Railroad Employment Questionnaire, to collect the information it needs to coordinate benefits with the RRB. The respondents are retiring or disabled railroad workers, their dependents, or their survivors. We are submitting this non-substantive change request to include the Consolidated Claims Experience (CCE) System.

The latest form for Railroad Employment Questionnaire expires 2027-05-31 and is listed under ICR 202410-0960-015.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-671 Railroad Employment QuestionnaireForm and Instruction
Form SSA-671 Railroad Employment QuestionnaireForm and Instruction
Justification for Non-Substantive Changes for 0960-0078.docxJustification for No Material/Nonsubstantive Change
Supporting Statement - 0960-0078 (final).docxSupporting Statement A
Addendum - 0078.docxSupplementary Document
Railroad Employment Questionnaire Form and Instruction
Railroad Employment Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202410-0960-015 No material or nonsubstantive change to a currently approved collection 2024-10-25
202004-0960-004 Revision of a currently approved collection 2020-08-07
201702-0960-008 Revision of a currently approved collection 2017-05-29 Approved without change
201511-0960-006 No material or nonsubstantive change to a currently approved collection 2015-11-10 Approved without change
201403-0960-005 Revision of a currently approved collection 2014-07-08 Approved without change
201103-0960-010 Revision of a currently approved collection 2011-05-26 Approved without change
200806-0960-009 Extension without change of a currently approved collection 2008-07-23 Approved without change
200505-0960-003 Extension without change of a currently approved collection 2005-05-20 Approved without change
200204-0960-002 Revision of a currently approved collection 2002-04-19 Approved without change
199812-0960-007 Extension without change of a currently approved collection 1998-12-28 Approved without change
199711-0960-002 Extension without change of a currently approved collection 1997-11-10 Approved without change
199409-0960-006 Extension without change of a currently approved collection 1994-09-12 Approved without change
199108-0960-002 Revision of a currently approved collection 1991-08-07 Approved without change
198809-0960-002 Revision of a currently approved collection 1988-09-21 Approved without change
198709-0960-018 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198511-0960-001 Extension without change of a currently approved collection 1985-11-22 Approved without change
198301-0960-008 Revision of a currently approved collection 1983-01-31 Approved without change
197805-0960-003 Extension without change of a currently approved collection 1978-05-16 Approved without change
197804-0960-008 No material or nonsubstantive change to a currently approved collection 1978-04-19 Approved with change
197802-0960-007 Extension without change of a currently approved collection 1978-02-01 Approved without change