Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Railroad Unemployment Insurance Act Applications Modified 23354 1988 0 Form and Instruction SI-1b (08-21) Statement of Sickness
Form and Instruction SI-7 (08-23) Supplemental Doctor's Statement
Form and Instruction SI-8 (08-21) Verification of Medical Information
Railroad Unemployment Insurance Act Applications Modified 194395 17126 0 Form and Instruction ID-11A (04-17) Requesting Reason for Late Filing of Sickness Benefit
Form and Instruction SI-3 (Internet)(08-21) Claim for Sickness Benefits
Form SI-1A (08-21) Application for Sickness Benefits
Form SI-3 (08-21) Claim for Sickness Benefits
Total burden requested under this ICR: 217749 19114 0  
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