OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Employee Non-Covered Service Pension Questionnaire

OMB 3220-0154 ยท RRB.

OMB 3220-0154

Under Section 3 of the Railroad Retirement Act, the Tier I portion of an employee annuity may be subjected to a reduction for benefits received based on work not covered under the Social Security Act or Railroad Retirement Act. The questionnaire obtains the information needed to determine if the reduction applies and the amount of such reduction.

The latest form for Employee Non-Covered Service Pension Questionnaire expires 2027-08-31 and is listed under ICR 202406-3220-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form G-209 Employee Non-Covered Service Pension QuestionnaireForm and Instruction
3220-0154 .docxSupporting Statement A
Employee Non-Covered Service Pension Questionnaire Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202406-3220-006 Extension without change of a currently approved collection 2024-06-27
202012-3220-004 Extension without change of a currently approved collection 2020-12-10
201710-3220-003 Extension without change of a currently approved collection 2017-10-20 Approved without change
201409-3220-002 Extension without change of a currently approved collection 2014-09-08 Approved without change
201108-3220-002 Revision of a currently approved collection 2011-08-22 Approved without change
200806-3220-002 Revision of a currently approved collection 2008-06-23 Approved without change
200506-3220-003 Extension without change of a currently approved collection 2005-06-14 Approved without change
200205-3220-003 Extension without change of a currently approved collection 2002-05-24 Approved without change
199905-3220-002 Extension without change of a currently approved collection 1999-05-14 Approved without change
199605-3220-005 Extension without change of a currently approved collection 1996-05-20 Approved without change
199509-3220-007 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199302-3220-003 Extension without change of a currently approved collection 1993-02-04 Approved without change
199004-3220-001 Revision of a currently approved collection 1990-04-27 Approved without change
198702-3220-003 Extension without change of a currently approved collection 1987-02-26 Approved without change
198601-3220-001 New collection (Request for a new OMB Control Number) 1986-01-16 Approved without change