OMB control number

Application for Employee Annuity Under the Railroad Retirement Act

OMB 3220-0002 · RRB.

OMB 3220-0002

The Railroad Retirement Act provides for payment of age, disability and supplemental annuities to qualified employees. The application and related forms obtain information about the applicant's family work history, military service, disability benefits from other government agencies and public or private pensions. The information is used to determine entitlement to and the amount of the annuity applied for.

The latest form for Application for Employee Annuity Under the Railroad Retirement Act expires 2028-05-31 and is listed under ICR 202411-3220-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form AA-1sum (08-24) (C Application Summary	Form
Form AA-1sum (08-24) (A Application Summary	Form
Form AA-1cert (08-24) ( Application Summary and Certification	Form
Form AA-1cert (08-24) ( Application Summary and Certification	Form
Form AA-1d (XX-XX) Prop Application for Determination of Employee Disability	Form and Instruction
Form AA-1 (Internet) Application for Employee Annuity	Form and Instruction
Form AA-1d Application for Determination of Employee Disability	Form and Instruction
Form AA-1d (Current) Application for Determination of Employee Disability	Form and Instruction
Form AA-1 Application for Employee Annuity	Form and Instruction
Form AA-1 Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Form RRB Form G-204 Verification of Worker's Compensation/Public Disability	Form and Instruction
Form RRB Form G-204 Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
3220-0002_Final.docx	Supporting Statement A
Application for Employee Annuity Under the Railroad Retirement Act	Form
Application for Employee Annuity Under the Railroad Retirement Act	Form
Application for Employee Annuity Under the Railroad Retirement Act	Form
Application for Employee Annuity Under the Railroad Retirement Act	Form
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction
Application for Employee Annuity Under the Railroad Retirement Act	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202411-3220-010	Revision of a currently approved collection	2025-03-03
202406-3220-001	Revision of a currently approved collection	2024-06-28
202012-3220-001	Revision of a currently approved collection	2020-12-10
201711-3220-001	Revision of a currently approved collection	2017-11-22	Approved without change
201605-3220-001	Revision of a currently approved collection	2016-09-30	Approved without change
201602-3220-002	Revision of a currently approved collection	2016-02-29	Approved without change
201212-3220-002	Revision of a currently approved collection	2012-12-07	Approved without change
200704-3220-002	Revision of a currently approved collection	2010-03-30	Approved without change
200611-3220-002	Revision of a currently approved collection	2007-01-18	Approved without change
200308-3220-004	Revision of a currently approved collection	2003-08-26	Approved without change
200205-3220-002	Revision of a currently approved collection	2002-05-14	Approved without change
200103-3220-001	Revision of a currently approved collection	2001-03-05	Approved without change
199803-3220-001	Revision of a currently approved collection	1998-03-05	Approved without change
199412-3220-002	Revision of a currently approved collection	1994-12-01	Approved without change
199211-3220-001	Revision of a currently approved collection	1992-11-03	Approved without change
198908-3220-002	Revision of a currently approved collection	1989-08-25	Approved without change
198709-3220-003	No material or nonsubstantive change to a currently approved collection	1987-09-30	Approved with change
198703-3220-002	Revision of a currently approved collection	1987-03-02	Approved without change
198609-3220-006	No material or nonsubstantive change to a currently approved collection	1986-09-30	Approved with change
198606-3220-003	Revision of a currently approved collection	1986-06-04	Approved without change
198512-3220-003	No material or nonsubstantive change to a currently approved collection	1985-12-20	Approved with change
198509-3220-002	No material or nonsubstantive change to a currently approved collection	1985-09-06	Approved with change
198305-3220-001	Revision of a currently approved collection	1983-05-03	Approved without change
198301-3220-002	Revision of a currently approved collection	1983-01-03	Withdrawn and continue
198111-3220-003	Revision of a currently approved collection	1981-11-16	Approved without change
197610-3220-003	Revision of a currently approved collection	1976-10-13	Approved without change
197512-3220-006	No material or nonsubstantive change to a currently approved collection	1975-12-22	Approved with change

OMB Details

Application for Employee Annuity Under the Railroad Retirement Act

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
Form	Name	Electronic access	Type
Form AA-1d	Application for Determination of Employee Disability	Paper Only	Form and instruction
Form AA-1sum (08-24) (Completed)	Application Summary	Fillable Printable	Form
Form AA-1sum (08-24) (All Possible)	Application Summary	Fillable Printable	Form
Form AA-1cert (08-24) (Completed)	Application Summary and Certification	Fillable Printable	Form
Form AA-1cert (08-24) (All Possible)	Application Summary and Certification	Fillable Printable	Form
Form AA-1d (XX-XX) Proposed	Application for Determination of Employee Disability	Paper Only	Form and instruction
Form AA-1 (Internet)	Application for Employee Annuity	Fillable Fileable	Form and instruction
Form AA-1d (Current)	Application for Determination of Employee Disability	Paper Only	Form and instruction
Form AA-1	Application for Employee Annuity	Paper Only	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.