Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Railroad Unemployment Insurance Act Applications Modified 39650 5284 0 Form and Instruction SI-1b (06-09) Statement of Sickness
Form and Instruction SI-7 (06-09) Supplemental Doctor's Statement
Form and Instruction SI-8 (06-09) Verification of Medical Information
Railroad Unemployment Insurance Act Applications Modified 157850 14541 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
Form and Instruction SI-3 (Internet)(proposed) Claim for Sickness Benefits
Total burden requested under this ICR: 197500 19825 0  
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