OMB control number

Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

OMB 3220-0107 · RRB.

OMB 3220-0107

Under the Railroad Retirement Act (RRA), benefits are not payable if an annuitant works for an employer covered under the RRA or last non-railroad employer. The collection obtains information regarding an annuitant's work and earnings from a non-railroad employer. The information is used to determine whether benefits should be withheld.

The latest form for Request to Non-Railroad Employer for Information About Annuitants Work and Earnings expires 2028-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RL-231-F (01-18) Request to Non-Railroad Employer for Information About Annuitants Work and Earnings Form and Instruction
3220-0107_Final.docx Supporting Statement A
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings Form and Instruction

All Historical Document Collections

202411-3220-004	Extension without change of a currently approved collection	2024-11-25
202106-3220-004 Approved without change	Extension without change of a currently approved collection	2021-06-30
201804-3220-003 Approved without change	Extension without change of a currently approved collection	2018-04-13
201501-3220-003 Approved without change	Extension without change of a currently approved collection	2015-01-30
201112-3220-002 Approved without change	Extension without change of a currently approved collection	2012-01-23
200901-3220-001 Approved without change	Extension without change of a currently approved collection	2009-01-27
200511-3220-005 Approved without change	Extension without change of a currently approved collection	2005-11-29
200212-3220-001 Approved without change	Extension without change of a currently approved collection	2002-12-30
199911-3220-001 Approved without change	Extension without change of a currently approved collection	1999-11-23
199610-3220-002 Approved without change	Extension without change of a currently approved collection	1996-10-16
199310-3220-001 Approved without change	Revision of a currently approved collection	1993-10-08
199010-3220-001 Approved without change	Revision of a currently approved collection	1990-10-01
198711-3220-001 Approved without change	Extension without change of a currently approved collection	1987-11-24
198501-3220-002 Approved without change	Revision of a currently approved collection	1985-01-25
198112-3220-002 Approved without change	Revision of a currently approved collection	1981-12-29
198105-3220-022 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-28
198104-3220-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-04-24
197607-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-07-16
197601-3220-002 Approved without change	Extension without change of a currently approved collection	1976-01-30