Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0107 can be found here:

Documents and Forms

Document Name Document Type
Form RL-231-F (01-18) Request to Non-Railroad Employer for Information About Annuitants Work and Earnings Form and Instruction
RL-231-F (01-18) Request to Non-Railroad Employer for Information About A Form RL-231-F (01-18).pdf Form and Instruction
Form G-19L (08-12).pdf Annual Earnings Questionnaire IC Document

Information Collection (IC) Details

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

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	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	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.