View Information Collection Request (ICR) Package

OMB Control No: 3220-0030	ICR Reference No: 200703-3220-004
Status: Historical Active	Previous ICR Reference No: 200403-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: Application for Survivor Insurance Annuities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/23/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/27/2007
Terms of Clearance: This Paperwork Reduction Act collection requests the Social Security Number (SSN) of individual beneficiaries. OMB is approving this information collection for 24 months to allow RRB to gather information concerning the use and need of individual SSNs. Upon resubmission of the information collection to OMB, please provide a written explanation of the following: 1. Authority for collecting the SSN (e.g. statutory requirement or other legal requirement). 2. Explanation for the use of the SSN on the form (e.g. identity verification, etc.) 3. Alternative method(s) (other than the use of a SSN) for verifying the identity of an individual for the purposes of carrying out the information collection requirement. 4. The cost and systems redesign that would be required to remove the use of the SSN and implement the alternate method(s) of verifying individual identities. This analysis should estimate costs to the program each year over 5 years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2009	36 Months From Approved	07/31/2007
Responses	4,137	0	4,137
Time Burden (Hours)	1,718	0	1,718
Cost Burden (Dollars)	0	0	0

Abstract: Under Section 2(d) of the Railroad Retirement Act, monthly survivor annuities are payable to surviving widow(er)s, parents, unmarried children, and in certain cases, divorced wives (husbands), mothers (fathers), remarried widow(er)s and grandchildren of deceased railroad employees. The collection obtains information needed by the RRB for determining entitlement to and amount of the annuity applied for.

Authorizing Statute(s): US Code: 45 USC 231f Name of Law: Railroad Retirement Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 4543	01/31/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 19984	04/20/2007
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	4,137	4,137
Annual Time Burden (Hours)	1,718	1,718
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Charles Mierzwa 312-751-3363 charles.mierzwa@rrb.gov

View ICR - OIRA Conclusion