Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
RUIA Continuing Entitlement Unchanged 139 17 0 Form UI-9 (06-13) Statement of Employment and Wages
Form and Instruction UI-44 (08-14) Claim for Credit for Military Service
Form and Instruction ID-4U (05-13) Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits
Form and Instruction ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits
Form UI-9 (Proposed) Statement of Employment and Wages
Form and Instruction UI-44 (Proposed) Claim for Credit for Military Service
Form and Instruction ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requirements for RUIA Benefits
Form and Instruction ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements for Sickness Benefits
RUIA Investigations (private sector respondent) Unchanged 1400 317 0 Form and Instruction ID-5I (08-14) Form Letter; Request for Employment Information
Form ID-5R (SUP) (12-00) Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service
Form and Instruction ID-5I (Proposed) Form Letter, Request for Employment Information
RUIA Investigations (state, local, tribal governments) Unchanged 50 12 0 Form and Instruction ID-5I (08-14) Form Letter; Request for Employment Information
Form and Instruction ID-5I (xx-xx) Form Letter; Request for Employment Information
Statement Regarding Benefit Claim for Days Worked Unchanged 14 3 0 Form and Instruction UI-48 (08-14) Statement Regarding Benefits Claimed for Days Worked
Form and Instruction UI-48 (Proposed) Statement Regarding Benefits Claimed for Days Worked
Total burden requested under this ICR: 1603 349 0  
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