Employer Service and Compensation Reports

Employer Service and Compensation Reports

OMB: 3220-0070

IC ID: 33875

Information Collection (IC) Details

View Information Collection (IC)

Employer Service and Compensation Reports
 
No Modified
 
Mandatory
 
20 CFR 302

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form UI-41 (08-17) Supplemental Report of Service and Compensation Form UI-41 (08-17).pdf No   Printable Only
Form UI-41a (06-16) Supplemental Report of Compensation Form UI-41A (06-16).pdf No   Printable Only
Form UI-41a (Proposed) Supplemental Report of Compensation Form UI-41A Proposed.pdf No   Printable Only

Income Security Unemployment Compensation

RRB-21, Railroad Unemployment and Sickness Insurance Benefit System   79 FR 58874

30 0
   
Private Sector Businesses or other for-profits
 
   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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
UI-23, Statement of Service for Railroad Unemployment Insurance Benefits Form UI-23 (08-16).pdf 08/31/2016
BA-3 (01-12) BA-3 (Internet) (01-12).pdf 08/31/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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