STATEMENTS OF CLAIMED RAILROAD SERVICE AND EARNINGS

ICR 199111-3220-001

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
157312 Migrated
ICR Details
3220-0025 199111-3220-001
Historical Active 198807-3220-001
RRB
STATEMENTS OF CLAIMED RAILROAD SERVICE AND EARNINGS
Revision of a currently approved collection   No
Regular
Approved without change 01/06/1992
Retrieve Notice of Action (NOA) 11/05/1991
  Inventory as of this Action Requested Previously Approved
01/31/1994 01/31/1994 12/31/1991
5,725 0 2,350
578 0 296
0 0 0

WHEN THE RAILROAD SERVICE AND/OR COMPENSATION OF THE BOARD'S RECORDS IS INSUFFICIENT TO QUALIFY A CLAIMANT FOR UNEMPLOYMENT OR SICKNESS BENEFITS, THE STATEMENTS OBTAIN THE INFORMATION NEEDED TO RECONCILE THE COMPENSATION AND/OR SERVICE ON RECORD WITH THAT CLAIMED BY EMPLOYE

None
None


No

1
IC Title Form No. Form Name
STATEMENTS OF CLAIMED RAILROAD SERVICE AND EARNINGS UI-9, UI-23,, ID-4F, ID-4U, ID-4X, ID-4Y, ID-20-1, ID-20-2, ID-20-4, ID-20-5, ID-20-7

  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 5,725 2,350 0 3,375 0 0
Annual Time Burden (Hours) 578 296 0 282 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/05/1991


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