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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
RUIA Continuing Entitlement
Modified
2005
234
0
Form
UI-9
Applicant's Statement of Employment and Wages
Form and Instruction
UI-23
Claimant's Statement of Service for Railroad Unemployment Insurance Benefits
Form and Instruction
UI-44
Claim for Credit for Military Service
Form and Instruction
ID-4F
Form Letter; Advising of Ineligibility for RUIA Benefits
Form and Instruction
ID-4U
Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits
Form and Instruction
ID-4X
Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits
Form and Instruction
ID-4Y
Form Letter; Advising of Ineligibility for Sickness Benefits
Form and Instruction
ID-20-1
Form Letter; Advising That Normal Unemployment Benefits Are About to Be Exhausted
Form and Instruction
ID-20-2
Form Letter; Advising that Normal Sickness Benefits Are About To Be Exhausted
Form and Instruction
ID-20-4
Form Letter; Advising that Normal Sickness Benefits are About to Be Exhausted/Non-Entitlement
Form and Instruction
ID-4F (proposed)
Form Letter; Advising of Ineligibility for RUIA Benefits
Form and Instruction
ID-4U (proposed)
Form Letter; Advising of Service/Earnings Requirements for RUIA Benefits
Form and Instruction
ID-4X (proposed)
Form Letter; Advising of Sickness/Earnings Requirements for Sickness Benefits
Form and Instruction
ID-4Y (proposed)
Form Letter; Advising of Ineligibility for Sickness Benefits
Form and Instruction
ID-20-1(proposed)
Form Letter; Advising That Normal Unemployment Benefits Are About to Be Exhausted
Form and Instruction
ID-20-2 (proposed)
Form Letter; Advising That Normal Sickness Benefits Are About to Be Exhausted
Form and Instruction
ID-20-4 (proposed)
Form Letter; Advising That Normal Sickness Benefits Are About to Be Exhausted/Non-Entitlement
RUIA Investigations (private sector respondent)
New
5550
1313
0
Form and Instruction
ID-5I
Form Letter; Letter to Non-Railroad Employers
Form
ID-5R (SUP)
Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service
Form and Instruction
ID-49R
Form Letter; Letter to Railroad Employer for Payroll Information
RUIA Investigations (state, local, tribal governments)
New
100
25
0
Form and Instruction
ID-5I
Form Letter; Letter to Non-Railroad Employers
Statement Regarding Benefit Claim for Days Worked
New
250
50
0
Form and Instruction
UI-48
Statement Regarding Benefit Claim for Days Worked
Total burden requested under this ICR:
7905
1622
0
To view an IC, click on IC Title