Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Railroad Unemployment Insurance Act Applications Modified 36556 4872 0 Form and Instruction SI-1b (06-09) Statement of Sickness
Form and Instruction SI-7 (03-17) Supplemental Doctor's Statement
Form and Instruction SI-8 (02-17) Verification of Medical Information
Form and Instruction SI-1b (xx-xx) Statement of Sickness
Railroad Unemployment Insurance Act Applications Modified 209168 18732 0 Form and Instruction ID-11A (04-17) Requesting Reason for Late Filing of Sickness Benefit
Form and Instruction SI-3 (Internet)(10-10) Claim for Sickness Benefits
Form SI-1A (03-12) Application for Sickness Benefits
Form SI-3 (02-09) Claim for Sickness Benefits
Form and Instruction SI-3 (Internet) (xx-xx) Claim for Sickness Benefits
Total burden requested under this ICR: 245724 23604 0  
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