Application for Survivor Insurance Annuities

OMB 3220-0030

OMB 3220-0030

Under Section 2(d) of the Railroad Retirement Act, monthly survivor annuities are payable to surviving widow(er)s, parents, unmarried children, and in certain cases, divorced wives (husbands), mothers (fathers), remarried widow(er)s and grandchildren of deceased railroad employees. The collection obtains information needed by the RRB to determine entitlement to and the amount of the annuity applied for.

The latest form for Application for Survivor Insurance Annuities expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Approved without change
Extension without change of a currently approved collection 2022-06-13
Approved without change
Revision of a currently approved collection 2019-03-18
Approved without change
Revision of a currently approved collection 2016-02-29
Approved without change
Revision of a currently approved collection 2012-11-29
Approved without change
Extension without change of a currently approved collection 2009-07-24
Approved without change
Revision of a currently approved collection 2007-04-27
Approved without change
Extension without change of a currently approved collection 2004-03-04
Approved without change
Revision of a currently approved collection 2001-02-23
Approved without change
Extension without change of a currently approved collection 1998-08-20
Approved without change
Revision of a currently approved collection 1996-05-31
Approved without change
No material or nonsubstantive change to a currently approved collection 1995-09-30
Approved without change
Revision of a currently approved collection 1992-12-31
Approved with change
No material or nonsubstantive change to a currently approved collection 1991-09-23
Approved without change
Revision of a currently approved collection 1989-10-17
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-07
Approved with change
No material or nonsubstantive change to a currently approved collection 1987-09-30
Approved without change
Revision of a currently approved collection 1986-06-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-09-06
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-22
Approved without change
Reinstatement with change of a previously approved collection 1983-05-03
Withdrawn and continue
Extension without change of a currently approved collection 1983-01-03
Approved without change
Revision of a currently approved collection 1982-01-11
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-29
Approved without change
Revision of a currently approved collection 1977-11-08
Approved with change
No material or nonsubstantive change to a currently approved collection 1976-02-19
Approved without change
Extension without change of a currently approved collection 1976-01-30

© 2024 OMB.report | Privacy Policy