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

ICR 198105-3220-012

OMB: 3220-0056

Federal Form Document

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ICR Details
3220-0056 198105-3220-012
Historical Active 198103-3220-022
RRB
APPLICATION FOR ACCRUED BENEFITS DUE UNDER THE RUIA AND UNPAID AT DEATH
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/28/1981
Approved with change 05/28/1981
Retrieve Notice of Action (NOA) 05/28/1981
  Inventory as of this Action Requested Previously Approved
09/30/1981 09/30/1981 05/31/1981
600 0 600
70 0 70
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 600 600 0 0 0 0
Annual Time Burden (Hours) 70 70 0 0 0 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.
05/28/1981


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