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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
139
17
0
Form
UI-9 (06-17)
Statement of Employment and Wages
Form and Instruction
UI-44 (08-17)
Claim for Credit for Military Service
Form and Instruction
ID-4U (05-17)
Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits
Form and Instruction
ID-4X (06-17)
Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits
RUIA Investigations (private sector respondent)
Modified
1400
317
0
Form and Instruction
ID-5I (06-22)
Form Letter; Request for Employment Information
Form
ID-5R (SUP) (08-14)
Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service
Form and Instruction
ID-5I (XX-XX)
Form Letter; Request for Employment Information
Form
ID-5R (SUP) - (XX-XX)
Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service
RUIA Investigations (state, local, tribal governments)
Modified
50
12
0
Form and Instruction
ID-5I (06-22)
Form Letter; Request for Employment Information
Statement Regarding Benefit Claim for Days Worked
Modified
14
3
0
Form and Instruction
UI-48 (08-17)
Statement Regarding Benefits Claimed for Days Worked
Total burden requested under this ICR:
1603
349
0
To view an IC, click on IC Title