RUIA Claims Notification System

ICR 200204-3220-001

OMB: 3220-0171

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
33971 Migrated
ICR Details
3220-0171 200204-3220-001
Historical Active 199905-3220-001
RRB
RUIA Claims Notification System
Extension without change of a currently approved collection   No
Regular
Approved without change 06/25/2002
Retrieve Notice of Action (NOA) 04/26/2002
  Inventory as of this Action Requested Previously Approved
06/30/2005 06/30/2005 06/30/2002
18,600 0 18,600
460 0 460
0 0 0

Section 5(b) of the RUIA requires that effective January 1, 1990, "when a claim for benefits is filed with the Railroad Retirement Board (RRB), the RRB shall provide notice of such claim to the claimant's base year employer(s) and afford such employer(s) an opportunity to submit information relevant to the claim".

None
None


No

1
IC Title Form No. Form Name
RUIA Claims Notification System ID-4K

  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 18,600 18,600 0 0 0 0
Annual Time Burden (Hours) 460 460 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.
04/26/2002


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