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Federal forms, ICRs, and supporting documents

OMB control number

Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment

OMB 3220-0179 · RRB.

OMB 3220-0179

Under Section 2(e)(3) of the Railroad Retirement Act, an annuity is not payable or is reduced for any month in which the beneficiary works for a railroad or earns more than the prescribed amounts. The collection obtains earnings information needed by the Railroad Retirement Board to determine possible reductions in annuities because of earnings.

The latest form for Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment expires 2026-07-31 and is listed under ICR 202203-3220-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form G-19L Annual Earnings QuestionnaireForm
Form G-19L Annual Earnings QuestionnaireForm
3220-0179_Final.docxSupporting Statement A
Request OMB Approval of NonSubstatative Change to ICR 3220-0179_Final.pdfJustification for No Material/Nonsubstantive Change
Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment Form
Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202411-3220-008 Revision of a currently approved collection 2024-11-27
202203-3220-001 No material or nonsubstantive change to a currently approved collection 2022-04-29 Approved without change
202106-3220-005 Extension without change of a currently approved collection 2021-06-30 Approved without change
201805-3220-002 Extension without change of a currently approved collection 2018-05-23 Approved without change
201502-3220-003 Extension without change of a currently approved collection 2015-04-10 Approved without change
201201-3220-006 Extension without change of a currently approved collection 2012-02-09 Approved without change
200812-3220-004 Revision of a currently approved collection 2008-12-23 Approved without change
200511-3220-001 Revision of a currently approved collection 2005-11-09 Approved without change
200209-3220-002 Revision of a currently approved collection 2002-09-13 Approved without change
199907-3220-001 Revision of a currently approved collection 1999-07-15 Approved without change
199606-3220-001 Extension without change of a currently approved collection 1996-06-10 Approved without change
199509-3220-010 No material or nonsubstantive change to a currently approved collection 1995-09-30 Approved without change
199302-3220-002 Revision of a currently approved collection 1993-02-01 Approved without change
199001-3220-001 New collection (Request for a new OMB Control Number) 1990-01-12 Approved without change