Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Railroad Unemployment Insurance Act Applications Modified 44850 5977 0 Form and Instruction SI-1b (02-01) Statement of Sickness
Form and Instruction SI-7 (03-04) Supplemental Doctor's Statement
Form and Instruction SI-8 (02-01) Verification of Medical Information
Form and Instruction SI-7 (proposed) Supplemental Doctor's Statement
Form and Instruction SI-8 (proposed) Verification of Medical Information
Form and Instruction SI-1b (proposed) Statement of Sickness
Railroad Unemployment Insurance Act Applications Modified 169050 15907 0 Form SI-1a (02-01) Application for Sickness Benefits
Form SI-3 (07-04) Claim for Sickness Benefits
Form and Instruction ID-7H (09-99) Non-Entitlement to Sickness Benefits and Information on Unemployment Insurance Benefits
Form and Instruction ID-11A (07-07) Requesting Reason for Late Filing of Sickness Benefit
Form and Instruction ID-11B (07-07) Notice of Insufficient Medical and Late Filing
Total burden requested under this ICR: 213900 21884 0  
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