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Pay Rate Report
Pay Rate Report
OMB: 3220-0097
IC ID: 33898
OMB.report
RRB
OMB 3220-0097
ICR 200708-3220-001
IC 33898
( )
Documents and Forms
Document Name
Document Type
Form UI-1e (04-04)
Pay Rate Report
Form
UI-1e (04-04) Request for Pay Rate Information
Form UI-1e (current).pdf
Form
Form UI-41 (10-00).pdf
Form UI-41, Supplemental Report of Service and Compensation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pay Rate Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 330
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
UI-1e (04-04)
Request for Pay Rate Information
Form UI-1e (current).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Unemployment Compensation
Privacy Act System of Records
Title:
RRB 21; Railroad Unemployment and Sickness Insurance Benfit System
FR Citation:
40 FR 36275
Number of Respondents:
350
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
350
0
0
0
0
350
Annual IC Time Burden (Hours)
29
0
0
0
0
29
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Form UI-41, Supplemental Report of Service and Compensation
Form UI-41 (10-00).pdf
08/15/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
