Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Railroad Unemployment Insurance Act Applications New 55850 7444 0 Form and Instruction SI-1b Statement of Sickness
Form and Instruction SI-7 Supplemental Doctor's Statement
Form and Instruction SI-8 Verification of Medical Information
Railroad Unemployment Insurance Act Applications Modified 193050 17907 0 Form SI-1a Application for Sickness Benefits
Form SI-3 Claim for Sickness Benefits
Form and Instruction ID-7H Non-Entitlement to Sickness Benefits and Information on Unemployment Insurance Benefits
Form and Instruction ID-11A Requesting Reason for Late Filing of Sickness Benefit
Form and Instruction ID-11B Notice of Insufficient Medical and Late Filing
Form SI-1A (proposed) Application for Sickness Benefits
Form and Instruction ID-11A (proposed) Requesting Reason for Late Filing of Sickness Benefit
Form and Instruction ID-11B (Proposed) Notice of Insufficient Medical and Late Filing
Total burden requested under this ICR: 248900 25351 0  
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