Investigation of Claim for Possible Days of Employment

ICR 201010-3220-004

OMB: 3220-0196

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2010-10-26
IC Document Collections
IC ID
Document
Title
Status
34016 Modified
ICR Details
3220-0196 201010-3220-004
Historical Active 200707-3220-004
RRB
Investigation of Claim for Possible Days of Employment
Extension without change of a currently approved collection   No
Regular
Approved without change 02/14/2011
Retrieve Notice of Action (NOA) 10/26/2010
  Inventory as of this Action Requested Previously Approved
02/28/2014 36 Months From Approved 02/28/2011
80 0 80
13 0 13
0 0 0

Under the Railroad Unemployment Insurance Act, unemployment or sickness benefits are not payable for any day in which remuneration is payable or accrues to the claimant. The collection obtains information about compensation credited to an employee during a period when the employee claimed unemployment or sickness benefits from their railroad employer.

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

Not associated with rulemaking

  75 FR 38565 07/02/2010
75 FR 65679 10/26/2010
No

1
IC Title Form No. Form Name
Investigation of Claim for Possible Days of Employment ID-5S (10-07), ID-5S(SUP) (10-07) Report of Case for Which All Days were Claimed During a Month Credited Per an Adjustment Report ,   ID-5S(SUP) Transmittal Letter

  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 80 80 0 0 0 0
Annual Time Burden (Hours) 13 13 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
No
No
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.
10/26/2010


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