Investigation of Claim for Possible Days of Employment

Investigation of Claim for Possible Days of Employment

OMB: 3220-0196

IC ID: 34016

Information Collection (IC) Details

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Investigation of Claim for Possible Days of Employment
 
No Modified
 
Voluntary
 
20 CFR 322.4(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ID-5S(SUP) (09-01) Report of Case for Which All Days were Claimed During a Month Credited Per an Adjustment Report Form ID-5S (SUP) current.pdf No   Paper Only
Form ID-5S(SUP)(proposed) Report of Case for Which All Days were Claimed During a Month Credited Per an Adjustment Report Form ID-5S (SUP) proposed.pdf No   Paper Only
Form and Instruction ID-5 (09-01) ID-5S(SUP) Transmittal Letter Form ID-5S(current).pdf No   Paper Only
Form and Instruction ID-5S(proposed) ID-5S(SUP) Transmittal Letter Form ID-5S (proposed).pdf No   Paper Only

Income Security Unemployment Compensation

RRB 6 - Unemployment Insurance Record File  40 FR 36269

80 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 80 0 0 0 0 80
Annual IC Time Burden (Hours) 13 0 0 0 0 13
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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