Under Section 2 of the Railroad Retirement Act and the Railroad Unemployment Insurance Act, pertinent information and proofs must be submitted by an applicant so that the Railroad Retirement Board can determine his or her entitlement to benefits. The collection obtains information supplementing or changing information previously provided by an applicant.
The latest form for Statement of Claimant or Other Person expires 2022-05-31 and can be found here.
Document Name |
---|
Form |
Supporting Statement A |
Approved without change |
Extension without change of a currently approved collection | 2022-04-28 | |
Approved without change |
Revision of a currently approved collection | 2019-03-21 | |
Approved without change |
Extension without change of a currently approved collection | 2015-10-09 | |
Approved without change |
Extension without change of a currently approved collection | 2012-09-19 | |
Approved without change |
Extension without change of a currently approved collection | 2009-07-17 | |
Approved without change |
Extension without change of a currently approved collection | 2006-05-31 | |
Approved without change |
Extension without change of a currently approved collection | 2003-07-22 | |
Approved without change |
Extension without change of a currently approved collection | 2000-09-05 | |
Approved without change |
Revision of a currently approved collection | 1997-10-08 | |
Approved without change |
Revision of a currently approved collection | 1994-10-31 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 1991-08-16 |
Federal Enterprise Architecture: Income Security - General Retirement and Disability
Form G-93 (09-18) | Statement of Claimant or Other Person | Paper Only | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.