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⚠️ Notice: This information collection may be referencing outdated material.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-4E RUIA Claims Notification System Form
ID-4E Notice of RUIA Claim Determination Form ID-4E (11-11).pdf Form
ID-4E (Internet) Notice of RUIA Claim Determination Form ID-4E (Internet) (02-09).pdf secure.rrb.gov/ERSNet/login.aspx Form
ID-4K Prepayment Notice of Employees' Applications and Claims Form ID-4K (11-11).pdf Form
ID-4K (Internet) Prepayment Notice of Employees' Applications and Claims Form ID-4K (Internet) (02-09).pdf secure.rrb.gov/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-4E	Notice of RUIA Claim Determination	Form ID-4E (11-11).pdf		Yes	No	Paper Only
Form	ID-4E (Internet)	Notice of RUIA Claim Determination	Form ID-4E (Internet) (02-09).pdf	https://secure.rrb.gov/ERSNet/login.aspx	Yes	Yes	Fillable Fileable Signable
Form	ID-4K	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form ID-4K (11-11).pdf		Yes	No	Paper Only
Form	ID-4K (Internet)	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form ID-4K (Internet) (02-09).pdf	https://secure.rrb.gov/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: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	75,920	-2,015	77,935
Annual IC Time Burden (Hours)	2,158	157	2,001
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.