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Federal forms, ICRs, and supporting documents

OMB control number

Application for Spouse Annuity Under the Railroad Retirement Act

OMB 3220-0042 · RRB.

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 2028-07-31 and can be found here.

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Withdrawn and continue
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 Revision of a currently approved collection 1981-11-16
Approved without change
 Revision of a currently approved collection 1976-10-13
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 No material or nonsubstantive change to a currently approved collection 1975-12-22