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

OMB 3220-0107

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 2021-06-30 and can be found here.

All Historical Document Collections
Approved without change
Extension without change of a currently approved collection 2021-06-30
Approved without change
Extension without change of a currently approved collection 2018-04-13
Approved without change
Extension without change of a currently approved collection 2015-01-30
Approved without change
Extension without change of a currently approved collection 2012-01-23
Approved without change
Extension without change of a currently approved collection 2009-01-27
Approved without change
Extension without change of a currently approved collection 2005-11-29
Approved without change
Extension without change of a currently approved collection 2002-12-30
Approved without change
Extension without change of a currently approved collection 1999-11-23
Approved without change
Extension without change of a currently approved collection 1996-10-16
Approved without change
Revision of a currently approved collection 1993-10-08
Approved without change
Revision of a currently approved collection 1990-10-01
Approved without change
Extension without change of a currently approved collection 1987-11-24
Approved without change
Revision of a currently approved collection 1985-01-25
Approved without change
Revision of a currently approved collection 1981-12-29
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-04-24
Approved with change
No material or nonsubstantive change to a currently approved collection 1976-07-16
Approved without change
Extension without change of a currently approved collection 1976-01-30

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