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

View Information Collection (IC)

Application for Spouse Annuity Under the Railroad Retirement Act
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 218.11 20 CFR 216.50

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-3 Yes No Paper Only
Form AA-3 (proposed) No   Paper Only
Form AA-3cert Yes Yes Fillable Printable
Form and Instruction AA-3cert (all possible) Yes Yes Fillable Printable

Income Security Survivor Compensation

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   40 FR 36268

11,050 0
   
Individuals or Households
 
   98 %

  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 11,050 0 0 2,550 0 8,500
Annual IC Time Burden (Hours) 5,642 0 0 1,345 0 4,297
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
RL-1 02/25/2010
RB-3, Furnishing Evidence To Support Your Claim 02/25/2010
RB-30, Spouse/Divorced Spouse Annuity 02/25/2010
RB-9, Employee and Spouse Annuities - Events That Must Be Reported 02/25/2010
AA-7, Spouse/Divorced Application for Medicare 12/04/2006
G-208, Public Service Pension Questionnaire 12/04/2006
G-19F, Earnings Information Request 02/25/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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