Employer Service and Compensation Reports

ICR 201008-3220-001

OMB: 3220-0070

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2010-08-25
IC Document Collections
IC ID
Document
Title
Status
33875 Modified
ICR Details
3220-0070 201008-3220-001
Historical Active 200705-3220-002
RRB
Employer Service and Compensation Reports
Extension without change of a currently approved collection   No
Regular
Approved without change 09/30/2010
Retrieve Notice of Action (NOA) 08/25/2010
  Inventory as of this Action Requested Previously Approved
09/30/2013 36 Months From Approved 09/30/2010
3,000 0 3,000
400 0 400
0 0 0

The reports obtain the employee's service and compensation for a period subsequent to those already on file and the employee's base year compensation. The information is used to determine the entitlement to and the amount of benefits payable.

US Code: 45 USC 231(b)(6) Name of Law: Railroad Retirement Act
   US Code: 45 USC 362(l) Name of Law: Railroad Unemployment Insurance Act
  
None

Not associated with rulemaking

  75 FR 21370 04/23/2010
75 FR 51118 08/18/2010
No

1
IC Title Form No. Form Name
Employer Service and Compensation Reports UI-41 (01-08), UI-41a (01-08) Supplemental Report of Service and Compensation ,   Supplemental Report of Compensation

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 400 400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
Uncollected
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/25/2010


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