Certification Regarding Rights to Unemployment Benefits

ICR 201011-3220-002

OMB: 3220-0079

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Modified
Supplementary Document
2007-08-28
Supporting Statement A
2010-11-17
Supplementary Document
2007-08-20
IC Document Collections
ICR Details
3220-0079 201011-3220-002
Historical Active 200708-3220-002
RRB
Certification Regarding Rights to Unemployment Benefits
Extension without change of a currently approved collection   No
Regular
Approved without change 02/14/2011
Retrieve Notice of Action (NOA) 11/29/2010
  Inventory as of this Action Requested Previously Approved
02/28/2014 36 Months From Approved 02/28/2011
2,900 0 2,900
487 0 487
0 0 0

In administering the disqualification for the voluntary leaving of work provision of Section 4 of the Railroad Unemployment Insurance Act, the Railroad Retirement Board investigates an unemployment claim that indicates the claimant left voluntarily. The certification obtains information needed to determine if the leaving was for good cause.

US Code: 45 USC 355 Name of Law: Railroad Unemployment Insurance Act
   US Code: 45 USC 362(l) Name of Law: Railroad Unemployment Insurance Act
  
None

Not associated with rulemaking

  75 FR 36451 06/25/2010
75 FR 72847 11/26/2010
No

  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 2,900 2,900 0 0 0 0
Annual Time Burden (Hours) 487 487 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.
11/29/2010


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