Self-Employment and Substantial Service Questionnaire

OMB 3220-0138

Section 2 of the Railroad Retirement Act provides for payment of annuities to qualified employees and their spouses. Work for a Last Pre-Retirement Nonrailroad Employer (LPE), and work in self-employment affect payment in different ways. This collection obtains information to determine whether claimed self-employment is really self-employment, and not work for a railroad or LPE.

The latest form for Self-Employment and Substantial Service Questionnaire expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form AA-4 (06-23) Self-Employment Questionnaire Form and Instruction
Request OMB Approval of NonSubstantive Change to ICR 3220-0138_Signed.pdf Justification for No Material/Nonsubstantive Change
3220-0138 .docx Supporting Statement A
Self-Employment Questionnaire Form and Instruction

All Historical Document Collections

202308-3220-004 Approved without change	Revision of a currently approved collection	2023-09-05
202305-3220-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-05-03
202005-3220-002 Approved without change	Revision of a currently approved collection	2020-05-22
201702-3220-003 Approved without change	Extension without change of a currently approved collection	2017-03-10
201401-3220-003 Approved without change	Extension without change of a currently approved collection	2014-02-24
201010-3220-005 Approved without change	Extension without change of a currently approved collection	2010-10-27
200707-3220-005 Approved without change	Revision of a currently approved collection	2007-07-30
200406-3220-001 Approved without change	Extension without change of a currently approved collection	2004-06-03
200102-3220-004 Approved without change	Revision of a currently approved collection	2001-02-28
199712-3220-001 Approved without change	Revision of a currently approved collection	1997-12-29
199410-3220-001 Approved without change	Revision of a currently approved collection	1994-10-03
199409-3220-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1994-09-30
199208-3220-002 Approved without change	Extension without change of a currently approved collection	1992-08-04
199104-3220-001 Approved without change	Revision of a currently approved collection	1991-04-02
198804-3220-004 Approved without change	Revision of a currently approved collection	1988-04-27
198612-3220-001 Approved without change	Extension without change of a currently approved collection	1986-12-30
198605-3220-004 Approved without change	Extension without change of a currently approved collection	1986-05-29
198305-3220-005 Approved without change	New collection (Request for a new OMB Control Number)	1983-05-03