Railroad Employment Questionnaire

OMB 0960-0078

The Social Security Administration (SSA) coordinates with the Railroad Retirement Board (RRB) to provide an integrated system of benefits to railroad workers, their dependents, and their surviving family members. SSA uses form SSA-671, the Railroad Employment Questionnaire, to collect the information it needs to coordinate benefits with the RRB. The respondents are retiring or disabled railroad workers, their dependents, or their survivors.

The latest form for Railroad Employment Questionnaire expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-671 Railroad Employment Questionnaire Form and Instruction
Justification for Non-Substantive Changes for 0960-0078.docx Justification for No Material/Nonsubstantive Change
Supporting Statement - 0960-0078 (final).docx Supporting Statement A
Addendum - 0078.docx Supplementary Document
Railroad Employment Questionnaire Form and Instruction

All Historical Document Collections

202410-0960-015	No material or nonsubstantive change to a currently approved collection	2024-10-25
202004-0960-004	Revision of a currently approved collection	2020-08-07
201702-0960-008 Approved without change	Revision of a currently approved collection	2017-05-29
201511-0960-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-11-10
201403-0960-005 Approved without change	Revision of a currently approved collection	2014-07-08
201103-0960-010 Approved without change	Revision of a currently approved collection	2011-05-26
200806-0960-009 Approved without change	Extension without change of a currently approved collection	2008-07-23
200505-0960-003 Approved without change	Extension without change of a currently approved collection	2005-05-20
200204-0960-002 Approved without change	Revision of a currently approved collection	2002-04-19
199812-0960-007 Approved without change	Extension without change of a currently approved collection	1998-12-28
199711-0960-002 Approved without change	Extension without change of a currently approved collection	1997-11-10
199409-0960-006 Approved without change	Extension without change of a currently approved collection	1994-09-12
199108-0960-002 Approved without change	Revision of a currently approved collection	1991-08-07
198809-0960-002 Approved without change	Revision of a currently approved collection	1988-09-21
198709-0960-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-09-01
198511-0960-001 Approved without change	Extension without change of a currently approved collection	1985-11-22
198301-0960-008 Approved without change	Revision of a currently approved collection	1983-01-31
197805-0960-003 Approved without change	Extension without change of a currently approved collection	1978-05-16
197804-0960-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-04-19
197802-0960-007 Approved without change	Extension without change of a currently approved collection	1978-02-01