Application for Spouse Annuity Under the Railroad Retirement Act

OMB 3220-0042

The Railroad Retirement Act provides for the payment of annuities to spouses of railroad retirement annuitants who meet the requirements under the Act. The application obtains information supporting the claim for benefits based on being a spouse of an annuitant. The information is used for determining entitlement to and amount of the annuity applied for.

The latest form for Application for Spouse Annuity Under the Railroad Retirement Act expires 2022-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form AA-3cert (all poss Application for Spouse Annuity Under the Railroad Retirement Act Form and Instruction
3220-0042 .docx Supporting Statement A
Application for Spouse Annuity Under the Railroad Retirement Act Form and Instruction

All Historical Document Collections

202204-3220-003 Approved without change	Extension without change of a currently approved collection	2022-04-28
201812-3220-004 Approved without change	Extension without change of a currently approved collection	2019-03-04
201602-3220-001 Approved without change	Revision of a currently approved collection	2016-02-26
201212-3220-001 Approved without change	Revision of a currently approved collection	2012-12-05
201002-3220-001 Approved without change	Revision of a currently approved collection	2010-02-25
200611-3220-001 Approved without change	Revision of a currently approved collection	2006-12-05
200308-3220-001 Approved without change	Extension without change of a currently approved collection	2003-08-11
200205-3220-001 Approved without change	Revision of a currently approved collection	2002-05-14
200004-3220-004 Approved without change	Revision of a currently approved collection	2000-04-28
199702-3220-003 Approved without change	Revision of a currently approved collection	1997-02-11
199311-3220-002 Approved without change	Revision of a currently approved collection	1993-11-30
199208-3220-004 Approved without change	Extension without change of a currently approved collection	1992-08-26
198908-3220-003 Approved without change	Revision of a currently approved collection	1989-08-25
198703-3220-003 Approved without change	Revision of a currently approved collection	1987-03-02
198609-3220-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-09-30
198606-3220-001 Approved without change	Revision of a currently approved collection	1986-06-03
198509-3220-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-06
198305-3220-002 Approved without change	Revision of a currently approved collection	1983-05-03
198301-3220-004 Withdrawn and continue	Revision of a currently approved collection	1983-01-03
198209-3220-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-13
198111-3220-001 Approved without change	Revision of a currently approved collection	1981-11-16
197610-3220-004 Approved without change	Revision of a currently approved collection	1976-10-13
197512-3220-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-12-22