OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Self-Employment and Substantial Service Questionnaire

OMB 3220-0138 · RRB.

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 2026-10-31 and is listed under ICR 202308-3220-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form AA-4 (06-23) Self-Employment QuestionnaireForm and Instruction
Request OMB Approval of NonSubstantive Change to ICR 3220-0138_Signed.pdf Justification for No Material/Nonsubstantive Change
3220-0138 .docxSupporting Statement A
Self-Employment Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections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