RUIA Claims Notification System

RUIA Claims Notification and Verification 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⚠️ Notice: This information collection may be referencing outdated material.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 (Internet) 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

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 (Internet)	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: 75 FR 43717

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	77,935	59,235	18,700
Annual IC Time Burden (Hours)	2,001	1,662	339
Annual IC Cost Burden (Dollars)	0	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.