View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Application for Employee Annuity Under the Railroad Retirement Act
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 220 20 CFR 216

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AA-1 No   Paper Only
Form and Instruction AA-1d No   Paper Only
Form AA-1cert (12-17) (All Possible) Yes Yes Fillable Printable
Form AA-1cert (12-17) (Completed) Yes Yes Fillable Printable
Form AA-1sum (12-17) (All Possible) Yes Yes Fillable Printable
Form AA-1sum (12-17) (Completed) Yes Yes Fillable Printable
Form and Instruction AA-1d No   Paper Only
Form and Instruction AA-1 (Internet) Yes Yes Fillable Fileable

Income Security General Retirement and Disability

RRB-22; Railroad Retirement, Survivor, and Pensioner Benefit System   79 FR 58874

12,720 0
   
Individuals or Households
 
   83 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,325 0 0 0 0 15,325
Annual IC Time Burden (Hours) 9,749 0 -1 0 0 9,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Report of Medical Condition by Employer 12/09/2020
Medical Assessment 12/09/2020
Request for Medical Assessment 12/09/2020
Employee Non-Covered Service Person Questionnaire 12/09/2020
Supplemental Pension Report 12/09/2020
Employee Application for Medicare 12/09/2020
Transmittal Letter 12/09/2020
Receipt for Claim 12/09/2020
Receipt for Claim 12/09/2020
Events the Affect Employee and Spouse Annuities 12/10/2020
How Work Affects You Railroad Benefits 12/10/2020
Age and Service Employee Annuity 12/10/2020
Employee Application for Medicare 12/10/2020
Transmittal Letter 12/10/2020
Vocational Report 12/10/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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