OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Authority to Act for Employee

OMB 3220-0034 ยท RRB.

OMB 3220-0034

Under 20 CFR 335.2, the Railroad Retirement Board (RRB) accepts claims for sickness benefits by other than the sick or injured employees, provided the RRB has the information needed to satisfy itself that the delegation should be made.

The latest form for Statement of Authority to Act for Employee expires 2027-08-31 and is listed under ICR 202406-3220-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SI-10 (05-17) Statement of Authority to Act for EmployeeForm
3220-0034 .docxSupporting Statement A
Statement of Authority to Act for Employee Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202406-3220-004 Revision of a currently approved collection 2024-06-27
202012-3220-003 Extension without change of a currently approved collection 2020-12-10
201710-3220-002 Extension without change of a currently approved collection 2017-10-20 Approved without change
201407-3220-003 Extension without change of a currently approved collection 2014-08-20 Approved without change
201107-3220-002 Extension without change of a currently approved collection 2011-07-21 Approved without change
200805-3220-002 Extension without change of a currently approved collection 2008-05-29 Approved without change
200505-3220-001 Extension without change of a currently approved collection 2005-05-26 Approved without change
200207-3220-001 Extension without change of a currently approved collection 2002-07-15 Approved without change
199909-3220-003 Extension without change of a currently approved collection 1999-09-30 Approved without change
199610-3220-003 Extension without change of a currently approved collection 1996-10-31 Approved without change
199310-3220-003 Extension without change of a currently approved collection 1993-10-15 Approved without change
199010-3220-002 Revision of a currently approved collection 1990-10-29 Approved without change
198707-3220-001 Extension without change of a currently approved collection 1987-07-09 Approved without change
198409-3220-001 Extension without change of a currently approved collection 1984-09-25 Approved without change
198109-3220-001 Extension without change of a currently approved collection 1981-09-24 Approved without change
198105-3220-008 No material or nonsubstantive change to a currently approved collection 1981-05-28 Approved with change
198103-3220-016 No material or nonsubstantive change to a currently approved collection 1981-03-21 Approved with change
198102-3220-025 Reinstatement with change of a previously approved collection 1981-02-19 Approved without change
198010-3220-002 No material or nonsubstantive change to a currently approved collection 1980-10-28 Approved with change
198003-3220-020 No material or nonsubstantive change to a currently approved collection 1980-03-25 Approved with change
197909-3220-007 Revision of a currently approved collection 1979-09-28 Approved without change
197907-3220-020 No material or nonsubstantive change to a currently approved collection 1979-07-18 Approved with change
197808-3220-002 Extension without change of a currently approved collection 1978-08-30 Approved without change