OMB control number

Job Information Report

OMB 3220-0193 · RRB.

OMB 3220-0193

The collection obtains information used by the Railroad Retirement Board (RRB) to assist in determining whether a railroad employee is disabled from his or her regular occupation. It provides railroad employers with the opportunity to provide information to the RRB regarding the employee applicant's job duties.

The latest form for Job Information Report expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-251A (07-20) Job Information Report Form and Instruction
3220-0193 .docx Supporting Statement A
Request OMB Approval of NonSubstatative Change to ICR 3220-0193.pdf Justification for No Material/Nonsubstantive Change
Job Information Report Form and Instruction

All Historical Document Collections

202403-3220-003	Revision of a currently approved collection	2024-03-21
202011-3220-007	Extension without change of a currently approved collection	2020-11-24
202006-3220-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-06-18
201706-3220-002 Approved without change	Revision of a currently approved collection	2017-06-08
201606-3220-001 Approved without change	Revision of a currently approved collection	2016-06-30
201304-3220-002 Approved without change	Extension without change of a currently approved collection	2013-04-29
201001-3220-002 Approved without change	Extension without change of a currently approved collection	2010-01-27
200610-3220-003 Approved without change	Extension without change of a currently approved collection	2006-11-13
200309-3220-001 Approved without change	Extension without change of a currently approved collection	2003-09-24
200010-3220-001 Approved without change	Revision of a currently approved collection	2000-10-10
199709-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1997-09-15