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  
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