Survivor Questionnaire

OMB 3220-0032

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 2022-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Revision of a currently approved collection 2022-09-21
Approved with change
Revision of a currently approved collection 2019-04-30
Approved without change
Revision of a currently approved collection 2016-03-21
Approved without change
Revision of a currently approved collection 2012-11-21
Approved without change
Revision of a currently approved collection 2009-06-22
Approved without change
Extension without change of a currently approved collection 2006-04-17
Approved without change
Extension without change of a currently approved collection 2003-04-02
Approved without change
Extension without change of a currently approved collection 2000-04-14
Approved without change
Extension without change of a currently approved collection 1997-05-02
Approved without change
Extension without change of a currently approved collection 1994-04-04
Approved without change
Extension without change of a currently approved collection 1991-03-22
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-25
Approved without change
Extension without change of a currently approved collection 1988-04-22
Approved without change
Revision of a currently approved collection 1985-06-25
Approved without change
Extension without change of a currently approved collection 1982-08-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-28
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 without change
Revision of a currently approved collection 1979-12-11
Approved without change
Extension without change of a currently approved collection 1978-11-08
Approved without change
Extension without change of a currently approved collection 1978-11-08

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