OMB control number

Employer's Deemed Service Month Questionnaire

OMB 3220-0156 · RRB.

OMB 3220-0156

Under Section 3(i) of the Railroad Retirement Act, the Railroad Retirement Board may deem months of service in cases where an employee does not actually work in every month of the year. The collection obtains service and compensation information from railroad employers needed to determine if an employee may be credited with additional months of railroad service.

The latest form for Employer's Deemed Service Month Questionnaire expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form GL-99 (10-18) Employer's Deemed Service Months Questionnaire Form and Instruction
3220-0156_Final.docx Supporting Statement A
Employer Reporting Instructions (02-19).pdf Supplementary Document
Employer's Deemed Service Month Questionnaire Form and Instruction

All Historical Document Collections

202601-3220-004	Revision of a currently approved collection	2026-01-26
202209-3220-004 Approved without change	Extension without change of a currently approved collection	2022-09-21
201902-3220-004 Approved without change	Revision of a currently approved collection	2019-04-30
201603-3220-002 Approved without change	Revision of a currently approved collection	2016-03-21
201211-3220-003 Approved without change	Revision of a currently approved collection	2012-11-20
200906-3220-003 Approved without change	Revision of a currently approved collection	2009-07-20
200605-3220-003 Approved without change	Extension without change of a currently approved collection	2006-05-31
200306-3220-001 Approved without change	Extension without change of a currently approved collection	2003-06-17
200005-3220-002 Approved without change	Extension without change of a currently approved collection	2000-05-05
199704-3220-002 Approved without change	Extension without change of a currently approved collection	1997-04-21
199404-3220-003 Approved without change	Revision of a currently approved collection	1994-04-28
199101-3220-002 Approved without change	Revision of a currently approved collection	1991-01-18
199004-3220-002 Approved without change	Revision of a currently approved collection	1990-04-27
198906-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-13
198904-3220-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-04
198702-3220-002 Approved without change	Revision of a currently approved collection	1987-02-26
198604-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1986-04-21