Information Collection

RUIA Continuing Entitlement

IC 33830 under ICR 201006-3220-002 · OMB 3220-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form UI-9 RUIA Continuing Entitlement	Form
UI-9 Applicant's Statement of Employment and Wages Form UI-9 (11-00).pdf	Form
UI-23 Claimant's Statement of Service for Railroad Unemploymen Form UI-23 (11-00).pdf	Form and Instruction
UI-44 Claim for Credit for Military Service Form UI-44 (11-00).pdf	Form and Instruction
ID-4U Form Letter; Advising of Service and Earnings Requiremen Form ID-4U (08-07).pdf	Form and Instruction
ID-4X Form Letter; Advising of Service/Earnings Requirements f Form ID-4X (08-07).pdf	Form and Instruction
ID-4Y Form Letter; Advising of Ineligibility for Sickness Bene Form ID-4Y (08-07).pdf	Form and Instruction
ID-20-1 Form Letter; Advising That Normal Unemployment Benefits Form ID-20-1 (08-07).pdf	Form and Instruction
ID-20-2 Form Letter; Advising that Normal Sickness Benefits Are Form ID-20-2 (08-07).pdf	Form and Instruction
ID-20-4 Form Letter; Advising that Normal Sickness Benefits are Form ID-20-4 (08-07).pdf	Form and Instruction
ID-4F Form Letter; Advising of Ineligibility for RUIA Benefits Form ID-4F (08-07).pdf	Form and Instruction
Form ID-4 (09-99).pdf Form Letter ID-4; Requesting Additional Information on Wages and Service	IC Document
Form ID-4- S-2 (09-99).pdf Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-4-S-1 (09-99).pdf Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits	IC Document
Form ID-32N (09-93).pdf Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

RUIA Continuing Entitlement

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 336 20 CFR 325 20 CFR 335

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	UI-9	Applicant's Statement of Employment and Wages	Form UI-9 (11-00).pdf	No	Paper Only
Form and Instruction	UI-23	Claimant's Statement of Service for Railroad Unemployment Insurance Benefits	Form UI-23 (11-00).pdf	No	Paper Only
Form and Instruction	UI-44	Claim for Credit for Military Service	Form UI-44 (11-00).pdf	No	Paper Only
Form and Instruction	ID-4U	Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4U (08-07).pdf	No	Paper Only
Form and Instruction	ID-4X	Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits	Form ID-4X (08-07).pdf	No	Paper Only
Form and Instruction	ID-4Y	Form Letter; Advising of Ineligibility for Sickness Benefits	Form ID-4Y (08-07).pdf	No	Paper Only
Form and Instruction	ID-20-1	Form Letter; Advising That Normal Unemployment Benefits Are About to Be Exhausted	Form ID-20-1 (08-07).pdf	No	Paper Only
Form and Instruction	ID-20-2	Form Letter; Advising that Normal Sickness Benefits Are About To Be Exhausted	Form ID-20-2 (08-07).pdf	No	Paper Only
Form and Instruction	ID-20-4	Form Letter; Advising that Normal Sickness Benefits are About to Be Exhausted/Non-Entitlement	Form ID-20-4 (08-07).pdf	No	Paper Only
Form and Instruction	ID-4F	Form Letter; Advising of Ineligibility for RUIA Benefits	Form ID-4F (08-07).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 Benefit System

FR Citation: 40 FR 36275

Number of Respondents: 390

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	390	-1,615	2,005
Annual IC Time Burden (Hours)	35	-199	234
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form Letter ID-4; Requesting Additional Information on Wages and Service	Form ID-4 (09-99).pdf	09/01/1999
Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4- S-2 (09-99).pdf	09/01/1999
Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4-S-1 (09-99).pdf	09/01/1999
Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service	Form ID-32N (09-93).pdf	09/01/1993

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