ID-3U (Internet) ( Request for Section 2(f) Information

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PROPOSED
ID-3U (INTERNET)

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ERS Login Screen

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ERS Menu Screen (New Items)

Form ID-3u will appear
here for users.

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United States of America
Railroad Retirement Board
Form ID-3u (xx-xx)

Form Approved
OMB No. 3220-0036

REQUEST FOR SECTION 2(F) INFORMATION

RRB USE ONLY

FOR RAILROAD USE ONLY
Click to read the Paperwork Reduction Act Notice and
Employer Instructions
1. Employee Name:
3. Pay for Time Lost (Exact Days)
From/To

10. Payor Code

2. SS Number:
4. Guarantee
Month

Year

5. Amount of
Payment

6. Date of
Payment

7. Information
Only
Yes

8. Employer Remarks

11. RRB and Billing Doc ID
(If Requested)

12. Amount Due

No

13. Remarks

9. Railroad:

Telephone:

Name of Requestor:

14. Representative:

Date:

Date Returned:

Notices: The Railroad Retirement Board’s (RRB) completed reply is confirmation of the amount due under section 2(f) of the Railroad Unemployment Insurance
Act.
Important: A subsequent report is required if you make a payment to the employee and this request is for “Information Only.” The subsequent report is needed to
determine the correct amount of reimbursement due the RRB, to prevent additional benefit payments and to trigger the release of a billing statement for the
amount due. Billing Document ID numbers are provided upon request, but only for claims which have been settled, i.e., cases in which Item 7 is checked “No.”
AMOUNTS DUE THE RRB UNDER SECTION 2(F) MUST BE RECEIVED WITHIN 30 DAYS AFTER THE DATE OF PAYMENT TO THE EMPLOYEE.
AMOUNTS THAT ARE NOT PAID WITHIN 30 DAYS ARE SUBJECT TO INTEREST CHARGES FROM THE DATE OF PAYMENT.
Submit

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Print

Reset Record

Exit/No Action

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ERS Menu (Completed Items)

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for users when completed.

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PAPERWORK REDUCTION ACT NOTICE
The Railroad Retirement Board is authorized to collection the information under section 5(b) of
Railroad Unemployment Insurance Act (RUIA). The information is needed to determine the
amount of unemployment benefits reimbursable under section 2(f) of the RUIA. Because you
are required to provide this information under section 9(a) of the RUIA, failure to complete and
submit this form could result in a fine or imprisonment or both.
We estimate it takes an average of 3 minutes to complete this form, including the time for
reviewing the instructions, getting the needed data, and reviewing the completed form. Federal
agencies may not conduct or sponsor, and respondents are not required to respond to, a
collection of information unless it displays a valid OMB number. If you wish, send comments
regarding the accuracy of our estimate or any other aspect of this form, including suggestions
for reducing completion time, to Chief of Information Resources Management, US Railroad
Retirement Board, 844 N. Rush St, Chicago, IL 60611-2092.

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EMPLOYER INSTRUCTIONS
1. Enter the employee’s first initial, middle initial, and last name. Do not enter a partial
name.
2. Enter the employee’s social security number.
3. Enter each date for which the employee has been awarded pay for time lost. For
example, enter “June 3, 5, and 8, 2014.” If the days in the period are consecutive, enter
the first and last day of the period, e.g., May 5, 2014–June 24, 2014.
4. Enter the month and the year for which the employee is being paid a monthly wage
guarantee or allowance. If a guaranteed wage will be paid for more than one month,
enter each month on a separate line.
5. Enter the total amount of the monthly guarantee or pay for time lost award to be paid to
the employee. Under Section 2(f) of the Act, the RRB is entitled to reimbursement of the
amount of benefits paid for days in the same period for which the employee is paid for
time lost, or the amount of the guarantee or pay for time lost award, whichever is less. It
is important to complete this item so that the RRB can determine if the amount due is
less than the amount of benefits paid for the period.
6. If a payment has already been made to the employee, enter the date of the payment. In
most cases, benefits due to an employee for the period but not yet paid will be stopped,
thereby reducing the amount of reimbursement due the RRB.
7. Click “Yes” if you are making an informational inquiry on this case and no payment will
be issued to the employee at this time. Click “No” if a payment will be issued to the
employee once you receive a reply from the RRB. Note that a second report is
required if you make a payment to the employee and this request is for
“Information Only.” Your second report is required to prevent additional benefit
payments to the employee and to trigger the release of a billing statement for the
amount due the RRB under section 2(f).
8. Enter any remarks concerning the employee’s guarantee or pay for time lost award.