OMB control number
Statement Regarding Contributions and Support of Children
OMB 3220-0195 · RRB.
OMB 3220-0195
Dependency on the employee for at least one-half support is a condition affecting eligibility for increasing an employee or spouse annuity under the social security overall minimum provisions on the basis of the presence of a dependent child, the employee's natural child in limited situations, adopted children, stepchildren, grandchildren and step-grandchildren. The information collected solicits financial information needed to determine entitlement to a child's annuity based on actual dependency.
The latest form for Statement Regarding Contributions and Support of Children expires 2021-01-31 and is listed under ICR 201708-3220-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
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| Form | |
| Form | |
| Supporting Statement A | |
| Form | |
| Form |