Information Collection

RUIA Claims Notification System

IC 33972 under ICR 200507-3220-001 · OMB 3220-0171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0171 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

RUIA Claims Notification System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ID-4K	Yes	Yes
Form	ID-4E	Yes	Yes
Form	ID-4K(INTERNET)	Yes	Yes
Form	ID-4E(INTERNET)	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 669

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 93 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,700	-72	172	18,600
Annual IC Time Burden (Hours)	339	87	-208	460
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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