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  
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