EMPLOYER SERVICE AND COMPENSATION REPORTS

ICR 198905-3220-007

OMB: 3220-0070

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
157501 Migrated
ICR Details
3220-0070 198905-3220-007
Historical Active 198602-3220-002
RRB
EMPLOYER SERVICE AND COMPENSATION REPORTS
Revision of a currently approved collection   No
Regular
Approved without change 07/10/1989
Retrieve Notice of Action (NOA) 05/26/1989
This information collection is approved on the condition that the RRB insert a burden disclosure statement on the UI-41 as soon as practicable, but not later than the next resubmission.
  Inventory as of this Action Requested Previously Approved
07/31/1992 07/31/1992 07/31/1989
11,000 0 25,000
900 0 1,833
0 0 0

THE REPORTS OBTAIN THE EMPLOYEE'S SERVICE AND COMPENSATION FOR A PERIOD SUBSEQUENT TO THOSE ALREADY ON FILE AND THE EMPLOYEE'S BASE YEAR COMPENSATION. THE INFORMATION IS USED TO DETERMINE THE ENTITLEMENT TO AND THE AMOUNT OF BENEFITS PAYABLE.

None
None


No

1
IC Title Form No. Form Name
EMPLOYER SERVICE AND COMPENSATION REPORTS UI-41,, UI-41A

  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 11,000 25,000 0 -10,249 -3,751 0
Annual Time Burden (Hours) 900 1,833 0 -683 -250 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
05/26/1989


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