Certification of Termination of Service and Relinquishment of Rights

ICR 202012-3220-002

OMB: 3220-0016

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3220-0016 202012-3220-002
Received in OIRA 201710-3220-001
RRB
Certification of Termination of Service and Relinquishment of Rights
Extension without change of a currently approved collection   No
Regular 12/10/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
3,600 3,600
360 360
0 0

Under Section 2(e)(2) of the Railroad Retirement Act, the Railroad Retirement Board must have evidence than an annuitant for an age and service, spouse, or divorced spouse annuity has ceased railroad employment and relinquished their rights to return to the service of a railroad employer. The collection provides the means for obtaining this evidence.

US Code: 45 USC 231f(b)(6) Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  85 FR 62776 10/05/2020
85 FR 79537 12/10/2020
No

1
IC Title Form No. Form Name
Certification of Termination of Service and Relinquishment of Rights G-88 (04-17) Certification of Termination of Service and Relinquishment of Rights

  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 3,600 3,600 0 0 0 0
Annual Time Burden (Hours) 360 360 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
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.
12/10/2020


© 2024 OMB.report | Privacy Policy