OMB control number

Certification of Termination of Service and Relinquishment of Rights

OMB 3220-0016 · RRB.

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 2027-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-88 (04-17) Certification of Termination of Service and Relinquishment of Rights Form
3220-0016 .docx Supporting Statement A
Certification of Termination of Service and Relinquishment of Rights Form

All Historical Document Collections

202406-3220-002	Revision of a currently approved collection	2024-06-27
202012-3220-002	Extension without change of a currently approved collection	2020-12-10
201710-3220-001 Approved without change	Extension without change of a currently approved collection	2017-10-20
201407-3220-002 Approved without change	Extension without change of a currently approved collection	2014-08-20
201107-3220-001 Approved without change	Extension without change of a currently approved collection	2011-07-21
200805-3220-001 Approved without change	Revision of a currently approved collection	2008-05-23
200503-3220-003 Approved without change	Extension without change of a currently approved collection	2005-03-23
200203-3220-003 Approved without change	Extension without change of a currently approved collection	2002-03-25
199903-3220-003 Approved without change	Extension without change of a currently approved collection	1999-03-19
199608-3220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-08-27
199604-3220-003 Approved without change	Extension without change of a currently approved collection	1996-04-11
199509-3220-008 Approved without change	No material or nonsubstantive change to a currently approved collection	1995-09-30
199301-3220-001 Approved without change	Extension without change of a currently approved collection	1993-01-15
199001-3220-002 Approved without change	Revision of a currently approved collection	1990-01-05
198805-3220-003 Approved without change	Revision of a currently approved collection	1988-05-02
198506-3220-002 Approved without change	Revision of a currently approved collection	1985-06-24
198205-3220-002 Approved without change	Revision of a currently approved collection	1982-05-21
198105-3220-044 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-29
198103-3220-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-03-21
198102-3220-028 Approved without change	Reinstatement with change of a previously approved collection	1981-02-19
198012-3220-016 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-12-26
198003-3220-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-03-25
197909-3220-002 Approved without change	Revision of a currently approved collection	1979-09-18
197907-3220-002 Approved without change	Reinstatement with change of a previously approved collection	1979-07-18
197903-3220-001 Withdrawn	Revision of a currently approved collection	1979-03-19
197806-3220-001 Approved without change	Extension without change of a currently approved collection	1978-06-01
197805-3220-001 Approved without change	Extension without change of a currently approved collection	1978-05-24
197504-3220-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-04-05