Public Service Pension Questionnaires

OMB 3220-0136

A spouse or survivor annuity under the Railroad Retirement Act may be subjected to a reduction for a public service pension. The questionnaires obtain information needed to determine if the reduction applies and the amount of such reduction.

The latest form for Public Service Pension Questionnaires expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-208 (02-17) Public Service Pension Questionnaires Form
3220-0136 .docx Supporting Statement A
Form SSA-3885 (02-18).pdf Supplementary Document
Public Service Pension Questionnaires Form

All Historical Document Collections

202303-3220-004 Approved without change	Extension without change of a currently approved collection	2023-03-28
202006-3220-003	Extension without change of a currently approved collection	2020-06-23
201703-3220-002 Approved without change	Extension without change of a currently approved collection	2017-04-28
201401-3220-010 Approved without change	Extension without change of a currently approved collection	2014-03-26
201010-3220-003 Approved without change	Revision of a currently approved collection	2010-10-27
200707-3220-001 Approved without change	Revision of a currently approved collection	2007-07-26
200406-3220-002 Approved with change	Revision of a currently approved collection	2004-06-17
200403-3220-004 Approved without change	Revision of a currently approved collection	2004-03-25
200102-3220-002 Approved without change	Revision of a currently approved collection	2001-02-14
199710-3220-003 Approved without change	Revision of a currently approved collection	1997-10-23
199411-3220-001 Approved without change	Revision of a currently approved collection	1994-11-07
199409-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1994-09-30
199110-3220-001 Approved without change	Revision of a currently approved collection	1991-10-01
198908-3220-004 Approved without change	Revision of a currently approved collection	1989-08-01
198906-3220-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-16
198904-3220-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-10
198605-3220-001 Approved without change	Revision of a currently approved collection	1986-05-02
198512-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-12-20
198308-3220-002 Approved without change	Revision of a currently approved collection	1983-08-08
198210-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1982-10-06