APPLICATION FOR ACCRUED BENEFITS DUE UNDER THE RUIA AND UNPAID AT DEATH

ICR 198102-3220-020

OMB: 3220-0056

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0056 198102-3220-020
Historical Active 197909-3220-010
RRB
APPLICATION FOR ACCRUED BENEFITS DUE UNDER THE RUIA AND UNPAID AT DEATH
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/19/1981
Retrieve Notice of Action (NOA) 02/19/1981
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981
600 0 0
70 0 0
0 0 0

SECTION 2 OF THE RAILROAD UNEMPLOYMENT INSURANCE ACT PROVIDES FOR PAYMENT OF UNEMPLOYMENT BENEFITS ACCRUED BUT NOT PAID AT THE DEATH OF THE EMPLOYEE TO THE SAME INDIVIDUAL(S) WHO ARE ENTITLED TO THE BENEFITS PAID UNDER SECTION 6 OF THE RAILROAD RETIREMENT ACT WITHOUT FURTHER CLAIM. THE APPLICATION WILL OBTAIN INFORMATION NEEDED FOR PAYING THE INDIVIDUAL(S) ENTITLED TO THE BENEFITS WHEN NO BENEFITS ARE DUE UNDER THE RAILROAD RETIREMENT ACT

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ACCRUED BENEFITS DUE UNDER THE RUIA AND UNPAID AT DEATH UI-63

  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 600 0 0 0 600 0
Annual Time Burden (Hours) 70 0 0 0 70 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.
02/19/1981


© 2024 OMB.report | Privacy Policy