Information Collection

RUIA Claims Notification System

IC 33972 under ICR 200807-3220-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form ID-4K RUIA Claims Notification System	Form
ID-4K Prepayment Claims Verification Notice ID-4K (11-05) current.pdf	Form
ID-4E Notice of RUIA Claim Determination ID-4E (11-05) current.pdf	Form
ID-4K(INTERNET) Prepayment Claims Verification Notice (Internet) ID-4K (Internet)(11-05) .pdf rrbapc2/webapps/ersnet/login/aspx	Form
ID-4E(INTERNET) Notice of RUIA Claim Determination ID-4E (Internet)(11-05).pdf http:rrbapc2/webapps/ersnet/login/aspx	Form

IC Title:

RUIA Claims Notification System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 320.1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ID-4K	Prepayment Claims Verification Notice	ID-4K (11-05) current.pdf		Yes	No	Paper Only
Form	ID-4E	Notice of RUIA Claim Determination	ID-4E (11-05) current.pdf		Yes	No	Printable Only
Form	ID-4K(INTERNET)	Prepayment Claims Verification Notice (Internet)	ID-4K (Internet)(11-05) .pdf	http://rrbapc2/webapps/ersnet/login/aspx	Yes	Yes	Fillable Fileable Signable
Form	ID-4E(INTERNET)	Notice of RUIA Claim Determination	ID-4E (Internet)(11-05).pdf	http:rrbapc2/webapps/ersnet/login/aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title: RRB -7, Application for Unemployment Benefits and Palcement Service under the Railroad Unemployment and Insurance Act

FR Citation: 72 FR 73506

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	Previously Approved
Annual Number of Responses for this IC	18,700	18,700
Annual IC Time Burden (Hours)	339	339
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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