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Self-Employment/Corporate Officer Work and Earnings Monitoring
Self-Employment/Corporate Officer Work and Earnings Monitoring
OMB: 3220-0202
IC ID: 195407
OMB.report
RRB
OMB 3220-0202
ICR 202403-3220-004
IC 195407
( )
Documents and Forms
Document Name
Document Type
Form G-252 (04-17)
Self-Employment/Corporate Officer Work and Earnings Monitoring
Form
G-252 (04-17) Self-Employment/Corporate Officer Work and Earnings Moni
Form G-252 (04-17).pdf
Form
G-252 (04-17) Self-Employment/Corporate Officer Work and Earnings Moni
Form G-252 (04-17).pdf
Form
Form RL-252 (04-11).pdf
RL-252 - G-252 Transmittal Letter
IC Document
Form RL-252 (04-11).pdf
RL-252 - G-252 Transmittal Letter
IC Document
Form SSA-820-BK.pdf
Form SSA-820-BK
IC Document
Form SSA-820-BK.pdf
Form SSA-820-BK
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Self-Employment/Corporate Officer Work and Earnings Monitoring
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 216
20 CFR 220.17 -220.20
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
G-252 (04-17)
Self-Employment/Corporate Officer Work and Earnings Monitoring
Form G-252 (04-17).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
15
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
15
0
-85
0
0
100
Annual IC Time Burden (Hours)
5
0
-28
0
0
33
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
RL-252 - G-252 Transmittal Letter
Form RL-252 (04-11).pdf
04/16/2014
Form SSA-820-BK
Form SSA-820-BK.pdf
03/19/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.