Certification of Termination of Service and Relinquishment of Rights

Certification of Termination of Service and Relinquishment of Rights

OMB: 3220-0016

IC ID: 33819

Information Collection (IC) Details

View Information Collection (IC)

Certification of Termination of Service and Relinquishment of Rights
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 216.24

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-88 (04-17) Certification of Termination of Service and Relinquishment of Rights Form G-88 (04-17).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor, and Pensioner Benefit System   79 FR 58874

20 0
   
Individuals or Households
 
   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 20 0 -3,580 0 0 3,600
Annual IC Time Burden (Hours) 2 0 -358 0 0 360
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Application for Employee Annuity Form AA-1 (01-18).pdf 12/09/2020
Application for Spouse/Divorced Spouse Annuity Form AA-3 (07-17).pdf 12/09/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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