OMB control number

Self-Employment/Corporate Officer Work and Earnings Monitoring

OMB 3220-0202 · RRB.

OMB 3220-0202

To determine entitlement or continued entitlement to a disability annuity, the RRB will obtain information from disability annuitants who claim to be self-employed or a corporate officer or who the RRB determines to be self-employed or a corporate officer after a continuing disability review.

The latest form for Self-Employment/Corporate Officer Work and Earnings Monitoring expires 2027-07-31 and is listed under ICR 202403-3220-004.

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