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UB-11, Sickness Benefits for Railroad Employees Booklet
Booklet UB-11 (03-12).pdf
Statement of Authority to Act for Employee
UB-11, Sickness Benefits for Railroad Employees Booklet
OMB: 3220-0034
OMB.report
RRB
OMB 3220-0034
ICR 201407-3220-003
IC 33846
UB-11, Sickness Benefits for Railroad Employees Booklet
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0034 can be found here:
2024-06-27 - Revision of a currently approved collection
2020-12-10 - Extension without change of a currently approved collection
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File Modified
2014-07-15
File Created
2014-04-24
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