View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Request to Non-Railroad Employer for Information About Annuitants Work and Earnings	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 230.2 20 CFR 230.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RL-231-F (01-18)	Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings	Form RL-231-F (01-18).pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	300	0	0	0	0	300
Annual IC Time Burden (Hours)	150	0	0	0	0	150
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Annual Earnings Questionnaire	Form G-19L (08-12).pdf	01/08/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.