Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Authorization to Disclose Information to the Railroad Retirement Board	Modified	6000	1000	0	Form and Instruction	G-197
	Modified	6000	1000	0	Form and Instruction	G-197 (Proposed)
Medical Reports	Modified	30250	9159	0	Form and Instruction	G-3EMP
					Form and Instruction	G-250
					Form and Instruction	G-250A
					Form and Instruction	G-260
					Form and Instruction	RL-11B
					Form and Instruction	RL-250
					Form and Instruction	G-3EMP (Proposed)
					Form and Instruction	G-250 (Proposed)
					Form and Instruction	G-250A (Proposed)
					Form and Instruction	G-260 (Proposed)
					Form and Instruction	RL-11B (Proposed)
					Form and Instruction	RL-250 (Proposed)
Medical Reports	Modified	250	42	0	Form and Instruction	RL-11D
Medical Reports	Modified	250	42	0	Form and Instruction	RL-11D (Proposed)
Total burden requested under this ICR:		36500	10201	0
To view an IC, click on IC Title