APPLICANT'S STATEMENT OF EMPLOYMENT AND WAGES

ICR 197704-3220-003

OMB: 3220-0025

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
157308 Migrated
ICR Details
3220-0025 197704-3220-003
Historical Active
RRB
APPLICANT'S STATEMENT OF EMPLOYMENT AND WAGES
Extension without change of a currently approved collection   No
Regular
Approved without change 05/03/1977
Retrieve Notice of Action (NOA) 04/26/1977
  Inventory as of this Action Requested Previously Approved
04/30/1982 04/30/1982
1,200 0 0
200 0 0
0 0 0

TO QUALIFY FOR UNEMPLOYMENT BENEFITS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT, AN EMPLOYEE MUST HAVE RAILROAD COMPENSATION AT LEAST $1000 IN THE BASE YEAR AND, IF THE BASE YEAR WAS THE FIRST OF RAILROAD WORK, THE EMPLOYEE MUST HAVE HAD AT LEAST 5 MONTHS OF SERVICE IN THAT YEAR. THE STATEMENT WILL OBTAIN INFORMATION FROM AN APPLICANT ON SUCH SERVICE WHEN THE SERVICE IS NOT THE BOARD'S RECORDS. THE INFORMATION WILL BE USED TO OBTAIN VERIFICATION OF TH

None
None


No

1
IC Title Form No. Form Name
APPLICANT'S STATEMENT OF EMPLOYMENT AND WAGES UI-9

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,200 0 0 0 1,200 0
Annual Time Burden (Hours) 200 0 0 0 200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/26/1977


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