APPLICANT'S STATEMENT OF EMPLOYMENT AND WAGES

ICR 198105-3220-042

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
176911 Migrated
ICR Details
3220-0025 198105-3220-042
Historical Active 197704-3220-003
RRB
APPLICANT'S STATEMENT OF EMPLOYMENT AND WAGES
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
04/30/1982 04/30/1982 04/30/1982
1,200 0 1,200
200 0 200
0 0 0

THE STATEMENTS OBTAIN THE CURRENT SERVICE AND COMPENSATION OF AN EMPLOYEE NOT YET REPORTED TO THE BOARD. THE INFORMATION IS USED TO OBTAIN VERIFICATION OF SUCH SERVICE FROM RAILROAD EMPLOYERS TO PROVIDE UNEMPLOYMENT BENEFITS TO QUALIFIED EMPLOYEES AND EXTENDED BENEFITS TO THOSE EMPLOYEES WHO HAVE EXHAUSTED THEIR NORMAL BENEFITS.

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 1,200 0 0 0 0
Annual Time Burden (Hours) 200 200 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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