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PROPOSED
G-88P (INTERNET)
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ERS Login Screen
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US Railroad Retirement Board
Form Approved
Form G-88p (xx-xx)
OMB No. 3220-0089
Employer’s Supplemental Pension Report
The information requested below is needed to determine if the supplemental annuity to which this retired railroad employee is
entitled should be reduced for a private railroad pension. Information about supplemental annuities and how they are affected
by railroad pensions is in Part VI, Chapter 6, of the Employer Reporting Instructions located on our website at www.rrb.gov.
Based on your answer to a question, you may be instructed to “Go to” another item. If no “Go to” instructions are given,
answer the next item in order.
1.
2.
3.
4.
5.
6.
Social Security Number:
Name:
Request Date:
BA Number:
Job Title or Category:
Was the employee covered
under either a defined benefit
pension plan or money purchase
pension plan with your railroad?
Yes - Go to Item 7
No - Submit
7. Enter the name of the pension plan.
8. How is the plan funded?
Employer contributions only - Go to Item 9
Both employer and employee contributions - Go to Item 9
Employee contributions only - Submit
9. Is the monthly pension reduced
by the amount of the RRB
supplemental annuity?
Yes it is reduced
by all of the supplemental annuity - Submit
by part of the supplemental annuity - Enter percentage:
No it is not reduced
10. Has the employee filed for the
pension?
11. Indicate the type of pension
payment.
12a. Enter the date the employee began,
or will begin, receiving a monthly
pension. If the date is unknown,
enter an estimated date.
%
Yes - Go to Item 11
No - Submit
Monthly pension – Go to Item 12a
Lump sum elected in lieu of a monthly pension – Go to Item 13a
Lump sum paid under the plan’s small benefit provision – Go to Item 14a
12b. Is the amount of the
monthly pension
based on the
employer’s
contributions greater
than $43.00?
Yes - Submit
No - Enter the amount of the monthly
pension based on the employer’s
contributions.
- Submit
13a. Enter the date the employee would
have begun receiving the monthly
pension if the lump sum had not
been elected.
13b. Would the amount of
the monthly pension
based on the
employer’s
contributions have
been greater than
$43.00?
14a. Enter the date the lump sum was
paid.
14b. Enter the total amount of
the lump sum.
Yes - Submit
No - Enter the amount of the monthly
pension based on the employer’s
contributions.
- Submit
14c. Enter the amount of the lump sum based
on the employer’s contributions.
Remarks
You may use this section to enter any additional information that you feel may be important to include. Be sure to include the
item number for any answer you wish to continue.
Paperwork Reduction Act Notice
Certification: I certify that I have examined this report, that it is made in good faith and that to the best of my knowledge and
belief all entries made herein are true and correct, and in accordance with the laws and regulations applicable hereto. I
understand that providing false or fraudulent information or failing to provide required information is a violation of federal law
punishable by fine, imprisonment or both.
Submit
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PAPERWORK REDUCTION ACT NOTICE
The information requested on this form is needed to determine if a reduction is
required to the supplemental annuities of your retired employees under Section
2(h) (2) of the Railroad Retirement Act (RRA) (45 USC 231a(h)(2)). Furnishing
this information is required by law (Section 7(b)(6) of the RRA (45 USC
231f(b)(6))).
We estimate it takes an average of 6 minutes to complete this form, including
the time for reviewing the instructions, getting the needed data, and reviewing
the completed form. Federal agencies may not conduct or sponsor, and
respondents are not required to respond to, a collection of information unless it
displays a valid OMB number. If you wish, send comments regarding the
accuracy of our estimate or any other aspect of this form, including suggestions
for reducing completion time, to Chief of Information Resources Management,
US Railroad Retirement Board, 844 N. Rush St, Chicago, IL 60611-2092.
File Type | application/pdf |
Author | Hickman, Dana |
File Modified | 2014-06-20 |
File Created | 2014-06-20 |