ID-5S(proposed) ID-5S(SUP) Transmittal Letter

FORM APPROVED
OMB NO. 3220-0196
U.S. RAILROAD RETIREMENT BOARD .
OFFICE OF PROGRAMS - ASSESSMENT AND TRAINING
P.O. BOX 10695
CHICAGO, IL 60610-0695

A comparisan gf unemployment and s i c k n e s s

r a i l r o a d compensation adjustment r e p a r t s shows
Were P a i d unemploymerit and/or;. s i c k n e s s begefLto f o r every day in
r e fhonths far which a Service manth w a s s u b s e q u e n t l y credited.you.

corryJensaicm r e p o r t e d f o r each m ~ n t h . If t h e employee received sick pay,
#indicate

ions concerning

w i t h t h e enclosed l i s t i n g after you

information

according ta t h e instructions provi
Our a u t h o r i t y f o
s i d e o f t h i s l e t t e r . If you have
c o n t a c t u s a t (312) 751-4805. Th
R a i l r o a d R e t i r e m e n t Board
Enclosure

ID-5s (XX-XX)
PAPERWORK REDUCTION ACTIPRIVACY ACT NOTICES
We estimate that a response to Form ID-5S(SUP) takes an average of 10 minutes to
complete, including the time for reviewing the instructi6ns,;gettingithe needed data, and
reviewing the completed response. Federal agencies may not conduct or sponsor, and
respondents are not required to respond to, a collection of information unless it displays
a valid OMB number. If you wish, send comments regarding the accuracy of our
estimate or any other aspect of this form, including suggestions for reducing completion
time, to Chief of Information ~esol~:rcks
Management, Railroad Retirement Board, 844
N. Rush Street, Chicago, IL 60611-2092.
Tlie Railroad Retirement Board's (RRB) authority for requesting information is contained
in sections 5(b), 9(2) and 12(a) of the Railroad Unemployment lnsurance Act (RUIA).
Although the RUIA gives the RRB the authority to compel disclosure through use of the
subpoena, the RRB's experience has been that employers voluntarily release earnings
information when they know that the RRB uses that information for the limited purpose
of verifying a claim for benefits.
The RRB realized that many companies have adopted policies regarding disclosures of
personal information needed for proper administration of the Railroad Unemployment
Insurance Act. Information that the RRB acquires about a person is protected from
disclosure except as provided by law.