Certification of Termination of Service and Relinquishment of Rights

OMB 3220-0016

OMB 3220-0016

Under Section 2(e)(2) of the Railroad Retirement Act, the Railroad Retirement Board must have evidence than an annuitant for an age and service, spouse, or divorced spouse annuity has ceased railroad employment and relinquished their rights to return to the service of a railroad employer. The collection provides the means for obtaining this evidence.

The latest form for Certification of Termination of Service and Relinquishment of Rights expires 2021-01-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2024-06-27
Extension without change of a currently approved collection 2020-12-10
Approved without change
Extension without change of a currently approved collection 2017-10-20
Approved without change
Extension without change of a currently approved collection 2014-08-20
Approved without change
Extension without change of a currently approved collection 2011-07-21
Approved without change
Revision of a currently approved collection 2008-05-23
Approved without change
Extension without change of a currently approved collection 2005-03-23
Approved without change
Extension without change of a currently approved collection 2002-03-25
Approved without change
Extension without change of a currently approved collection 1999-03-19
Approved without change
No material or nonsubstantive change to a currently approved collection 1996-08-27
Approved without change
Extension without change of a currently approved collection 1996-04-11
Approved without change
No material or nonsubstantive change to a currently approved collection 1995-09-30
Approved without change
Extension without change of a currently approved collection 1993-01-15
Approved without change
Revision of a currently approved collection 1990-01-05
Approved without change
Revision of a currently approved collection 1988-05-02
Approved without change
Revision of a currently approved collection 1985-06-24
Approved without change
Revision of a currently approved collection 1982-05-21
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-29
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-03-21
Approved without change
Reinstatement with change of a previously approved collection 1981-02-19
Approved with change
No material or nonsubstantive change to a currently approved collection 1980-12-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1980-03-25
Approved without change
Revision of a currently approved collection 1979-09-18
Approved without change
Reinstatement with change of a previously approved collection 1979-07-18
Withdrawn
Revision of a currently approved collection 1979-03-19
Approved without change
Extension without change of a currently approved collection 1978-06-01
Approved without change
Extension without change of a currently approved collection 1978-05-24
Approved with change
No material or nonsubstantive change to a currently approved collection 1975-04-05

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