OMB control number

Financial Disclosure Statement

OMB 3220-0127 ยท RRB.

OMB 3220-0127

Under the Railroad Retirement and the Railroad Unemployment Insurance Acts, the Railroad Retirement Board has authority to secure from an overpaid beneficiary a statement of the individual's assets and liabilities if waiver of the overpayment is requested.

The latest form for Financial Disclosure Statement expires 2027-07-31 and is listed under ICR 202405-3220-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DR-423 (04-17) Financial Disclosure StatementForm and Instruction
3220-0127.docxSupporting Statement A
Financial Disclosure Statement Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202405-3220-002 Extension without change of a currently approved collection 2024-05-21
202011-3220-004 Extension without change of a currently approved collection 2020-11-24
201708-3220-001 Extension without change of a currently approved collection 2017-08-29 Approved without change
201406-3220-002 Extension without change of a currently approved collection 2014-07-15 Approved without change
201104-3220-002 Extension without change of a currently approved collection 2011-06-09 Approved without change
200801-3220-001 Revision of a currently approved collection 2008-01-28 Approved without change
200501-3220-001 Revision of a currently approved collection 2005-01-21 Approved without change
200203-3220-005 Extension without change of a currently approved collection 2002-03-29 Approved without change
199906-3220-003 No material or nonsubstantive change to a currently approved collection 1999-06-02 Approved without change
199904-3220-001 Extension without change of a currently approved collection 1999-04-05 Approved without change
199604-3220-004 Revision of a currently approved collection 1996-04-30 Approved without change
199509-3220-006 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199212-3220-003 Revision of a currently approved collection 1992-12-30 Approved without change
198910-3220-001 Revision of a currently approved collection 1989-10-24 Approved without change
198610-3220-001 Revision of a currently approved collection 1986-10-21 Approved without change
198604-3220-002 Revision of a currently approved collection 1986-04-24 Approved without change
198507-3220-003 Extension without change of a currently approved collection 1985-07-30 Approved without change
198206-3220-001 Extension without change of a currently approved collection 1982-06-07 Approved without change
198106-3220-001 New collection (Request for a new OMB Control Number) 1981-06-17 Approved without change