Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act

Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act

OMB: 3220-0007

IC ID: 33804

Information Collection (IC) Details

View Information Collection (IC)

Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 320 20 CFR 260

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HA-1 Claimant Appeal Under the Railroad Retirement Act or Railroad Unemployment Insurance Act Form HA-1 (12-16).pdf https://www.rrb.gov/sites/default/files/2016-12/ha1.pdf Yes No Printable Only

Litigation and Judicial Activities Resolution Facilitation

RRB-17, Appeal Decisions from Initial Denial for Benefits Under the Provisions of the Railroad Retirement Act   79 FR 58874

450 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 550 0 0 0 0 550
Annual IC Time Burden (Hours) 185 0 0 0 0 185
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form HA-2, Filing Appeals Under the Railroad Retirement Act and the Railroad Unemployment Insurance Act Form HA-2 (12-16).pdf 05/18/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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