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The information contained in this report, which is required by law under Section
9 of the Railroad Retirement Act (RRA) and Section 6 of the Railroad
Unemployment Insurance Act (RUIA), is needed to pay RRA and RUIA benefits and is
authorized for collection under OMB control number 3220-0008.
This report is due at the Railroad Retirement Board by no later than the last
day of February. Failure to report or the making of a false or fraudulent report
can result in criminal prosecution or civil penalties, or both.
We estimate the electronic version of this form, transmitted by e-mail or FTP,
takes an average of 46.25 hours per response to complete, including time for
reviewing the instructions, getting the needed data, and reviewing the completed
form.
Sub-total records are optional. Sub-totals of money amounts may be shown for
every 2000 or fewer records.
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10 |
1-10 |
"8888888888" (10 eights-type of record code). |
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5 |
11-15 |
"SUBTO" |
|
7 |
16-22 |
A sub-total item count for that particular sub-division of the
report. |
|
13 |
23-35 |
A sub-total of creditable RUIA I creditable compensation for
that particular sub-division of the report. |
|
13 |
36-48 |
A sub-total of creditable RUIA II maximum benefit compensation
for that particular sub-division of the report. |
|
13 |
49-61 |
A sub-total of creditable Tier I RRA compensation for that
particular sub- division of the report. |
|
13 |
62-74 |
A sub-total of creditable Tier II RRA compensation for that
particular sub-division of the report. |
|
13 |
75-87 |
A sub-total of creditable Miscellaneous compensation for that
particular sub- division of the report. |
|
13 |
88-100 |
A sub-total of creditable Sick Pay compensation for that
particular sub-division of the report. |
|
200 |
101-300 |
Blank or zeros. |
Paperwork Reduction Act (PRA) Notice
Federal agencies may not conduct or sponsor, and respondents are not required to
respond to, any collection of information unless it displays a valid OMB number.
If you wish, send comments regarding the accuracy of our estimates or any other
aspect of these forms, including suggestions for reducing completion time, to
Chief of Information Services
U.S. Railroad Retirement Board
844 North Rush Street, 4th floor
Chicago, IL 60611-2092
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.
We recommend using the latest version.
