OMB control number

Employee - Employer Statement Of Pay Rate

OMB 3220-0110 · RRB.

OMB 3220-0110

Latest Forms, Documents, and Supporting Material

Document Name
EMPLOYEE - EMPLOYER STATEMENT OF PAY RATE Form

All Historical Document Collections

197612-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-12-15
197607-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1976-07-14