OMB control number

Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act

OMB 3220-0007 · RRB.

OMB 3220-0007

Under Section 7(b)(3) of the Railroad Retirement Act and Section 5(c) of the Railroad Unemployment Insurance Act, a person aggrieved by a decision on his or her application for an annuity or other benefit has the right to appeal to the RRB. The collection provides the means for the appeal action.

The latest form for Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form HA-1 Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act Form
3220-0007_Final.docx Supporting Statement A
Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act Form

All Historical Document Collections

202411-3220-002	Revision of a currently approved collection	2024-11-25
202106-3220-001 Approved with change	Revision of a currently approved collection	2021-06-30
201805-3220-001 Approved without change	Extension without change of a currently approved collection	2018-05-22
201502-3220-002 Approved without change	Extension without change of a currently approved collection	2015-04-13
201201-3220-002 Approved without change	Revision of a currently approved collection	2012-02-27
200810-3220-001 Approved without change	Revision of a currently approved collection	2008-12-31
200703-3220-002 Approved with change	Revision of a currently approved collection	2007-04-09
200406-3220-003 Approved without change	Extension without change of a currently approved collection	2004-06-03
200107-3220-002 Approved without change	Extension without change of a currently approved collection	2001-07-20
199808-3220-001 Approved without change	Revision of a currently approved collection	1998-08-03
199505-3220-003 Approved without change	Revision of a currently approved collection	1995-05-12
199205-3220-001 Approved without change	Extension without change of a currently approved collection	1992-05-04
198905-3220-002 Approved without change	Revision of a currently approved collection	1989-05-11
198904-3220-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198711-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-11-29
198606-3220-006 Approved without change	Extension without change of a currently approved collection	1986-06-30
198506-3220-001 Approved without change	Revision of a currently approved collection	1985-06-20
198211-3220-001 Approved without change	Revision of a currently approved collection	1982-11-01
198112-3220-001 Approved without change	Revision of a currently approved collection	1981-12-24
198108-3220-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-08-31
198105-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-28
198103-3220-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-03-21
198102-3220-031 Approved without change	Reinstatement with change of a previously approved collection	1981-02-19
198010-3220-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-10-28
198004-3220-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-04-22
198003-3220-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-03-25
197909-3220-001 Approved without change	Revision of a currently approved collection	1979-09-28
197907-3220-001 Approved without change	Reinstatement without change of a previously approved collection	1979-07-31
197504-3220-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-04-05