Self-Employment/Corporate Officer Work and Earnings Monitoring

ICR 202006-3220-005

OMB: 3220-0202

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement A
2020-06-22
IC Document Collections
ICR Details
3220-0202 202006-3220-005
Received in OIRA 201704-3220-002
RRB
Self-Employment/Corporate Officer Work and Earnings Monitoring
Extension without change of a currently approved collection   No
Regular 06/23/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
100 100
33 33
0 0

To determine entitlement or continued entitlement to a disability annuity, the RRB will obtain information from disability annuitants who claim to be self-employed or a corporate officer or who the RRB determines to be self-employed or a corporate officer after a continuing disability review.

US Code: 45 USC 231(f) Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  85 FR 16689 03/24/2020
85 FR 37698 06/23/2020
No

1
IC Title Form No. Form Name
Self-Employment/Corporate Officer Work and Earnings Monitoring G-252 (04-17) Self-Employment/Corporate Officer Work and Earnings Monitoring

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 100 0 0 0 0
Annual Time Burden (Hours) 33 33 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

No
    Yes
    Yes
No
No
No
No
Brian Foster 312 751-4826 brian.foster@rrb.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/23/2020


© 2024 OMB.report | Privacy Policy