RUIA Claims Notification System

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.