Earnings Information Request

OMB 3220-0184

Under Section 2 of the Railroad Retirement Act, an annuity is not payable or is reduced for any month(s) in which the beneficiary works for a railroad or earns more than prescribed amounts. The collection obtains earnings information not previously or erroneously reported by a beneficiary.

The latest form for Earnings Information Request expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-19F (03-16) Earnings Information Request Form and Instruction
3220-0184.docx Supporting Statement A
Earnings Information Request Form and Instruction

All Historical Document Collections

202011-3220-006	Extension without change of a currently approved collection	2020-11-24
201702-3220-006 Approved without change	Revision of a currently approved collection	2017-03-10
201401-3220-006 Approved without change	Revision of a currently approved collection	2014-02-15
201010-3220-001 Approved without change	Extension without change of a currently approved collection	2010-10-27
200707-3220-003 Approved without change	Revision of a currently approved collection	2007-07-25
200406-3220-005 Approved without change	Extension without change of a currently approved collection	2004-06-25
200108-3220-003 Approved without change	Extension without change of a currently approved collection	2001-08-17
199806-3220-002 Approved without change	Revision of a currently approved collection	1998-06-02
199503-3220-003 Approved without change	Revision of a currently approved collection	1995-03-27
199112-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1991-12-03