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

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 2021-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-19L Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment Form
Request OMB Approval of NonSubstatative Change to ICR 3220-0179_Final.pdf Justification for No Material/Nonsubstantive Change
3220-0179.docx Supporting Statement A
Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment Form

All Historical Document Collections

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