OMB control number

Job Information Report

OMB 3220-0193 ยท 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 is listed under ICR 202403-3220-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form G-251A (07-20) Job Information ReportForm and Instruction
3220-0193 .docxSupporting 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