Information Collection

Statements of Claimed Railroad Service and Earnings

IC 33828 under ICR 199706-3220-001 · OMB 3220-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0025 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Statements of Claimed Railroad Service and Earnings	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ID-4Y/ID-20-1	No	No
Form	ID-4U/ID-4X	No	No
Form	UI-9/UI-23	No	No
Form	ID-20-2/ID-20-4	No	No
Form	UI-44/ID-4F	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,005	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,005	141	-3,861	5,725
Annual IC Time Burden (Hours)	234	13	-357	578
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.