OMB control number

Survivor Questionnaire

OMB 3220-0032 ยท RRB.

OMB 3220-0032

Under Section 6 of the Railroad Retirement Act, benefits are payable to the survivors or the estates of deceased railroad employees. The collection obtains information used to determine if and to whom benefits are payable; such as a widow(er) due survivor benefits, an executor of the estate, or a payer of burial expenses.

The latest form for Survivor Questionnaire expires 2029-05-31 and is listed under ICR 202601-3220-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form RL-94F (01-23) Survivor QuestionnaireForm and Instruction
3220-0032_Final.docxSupporting Statement A
Request OMB Approval of NonSubstantive Change to ICR 3220-0032_Signed.pdfJustification for No Material/Nonsubstantive Change
Section 6 of the Railroad Retirement Act Of 1974.pdfSupplementary Document
20 CFR 234.pdfSupplementary Document
Survivor Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-3220-002 Revision of a currently approved collection 2026-01-26
202308-3220-007 No material or nonsubstantive change to a currently approved collection 2023-08-24 Approved without change
202209-3220-002 Revision of a currently approved collection 2022-09-21 Approved without change
201902-3220-003 Revision of a currently approved collection 2019-04-30 Approved with change
201603-3220-001 Revision of a currently approved collection 2016-03-21 Approved without change
201211-3220-001 Revision of a currently approved collection 2012-11-21 Approved without change
200906-3220-001 Revision of a currently approved collection 2009-06-22 Approved without change
200604-3220-001 Extension without change of a currently approved collection 2006-04-17 Approved without change
200304-3220-001 Extension without change of a currently approved collection 2003-04-02 Approved without change
200004-3220-001 Extension without change of a currently approved collection 2000-04-14 Approved without change
199705-3220-001 Extension without change of a currently approved collection 1997-05-02 Approved without change
199404-3220-001 Extension without change of a currently approved collection 1994-04-04 Approved without change
199103-3220-001 Extension without change of a currently approved collection 1991-03-22 Approved without change
198904-3220-014 No material or nonsubstantive change to a currently approved collection 1989-04-25 Approved with change
198804-3220-001 Extension without change of a currently approved collection 1988-04-22 Approved without change
198506-3220-004 Revision of a currently approved collection 1985-06-25 Approved without change
198208-3220-001 Extension without change of a currently approved collection 1982-08-04 Approved without change
198105-3220-007 No material or nonsubstantive change to a currently approved collection 1981-05-28 Approved with change
198103-3220-015 No material or nonsubstantive change to a currently approved collection 1981-03-21 Approved with change
198102-3220-026 Reinstatement with change of a previously approved collection 1981-02-19 Approved without change
197912-3220-001 Revision of a currently approved collection 1979-12-11 Approved without change
197811-3220-006 Extension without change of a currently approved collection 1978-11-08 Approved without change
197811-3220-005 Extension without change of a currently approved collection 1978-11-08 Approved without change