Railroad Employment Questionnaire

Documents and Forms

Document Name Document Type
Form SSA-671 Railroad Employment Questionnaire Form and Instruction
SSA-671 Railroad Employment Questionnaire CCE Screen Package for SSA-671.pdf Form and Instruction
SSA-671 Current.pdf Railroad Employment Questionnaire IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Railroad Employment Questionnaire	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 404.1406-.1408 20 CFR 404.1401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-671	Railroad Employment Questionnaire	CCE Screen Package for SSA-671.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

	Requested	Previously Approved
Annual Number of Responses for this IC	125,000	125,000
Annual IC Time Burden (Hours)	122,917	122,917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Railroad Employment Questionnaire	SSA-671 Current.pdf	10/23/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.