OMB control number

Employee Annuitant's Statement Regarding Family And Earnings

OMB 3220-0068 · RRB.

OMB 3220-0068

Latest Forms, Documents, and Supporting Material

Document Name
EMPLOYEE ANNUITANT'S STATEMENT REGARDING FAMILY AND EARNINGS Form

All Historical Document Collections

197708-3220-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-08-11
197708-3220-003 Approved without change	Revision of a currently approved collection	1977-08-08