Information Collection Request

RUIA Investigations and Continuing Entitlement

ICR 202006-3220-002 · OMB 3220-0025 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements for Sickness Benefits Form and Instruction Modified Repair queued
Form ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requirements for RUIA Benefits Form and Instruction Modified Repair queued
Form UI-44 (Proposed) Claim for Credit for Military Service Form and Instruction Modified Repair queued
Form UI-9 (Proposed) Statement of Employment and Wages Form Modified Repair queued
Form ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits Form and Instruction Modified Repair queued
Form ID-4X (05-13) RUIA Continuing Entitlement Form and Instruction Modified Repair queued
Form ID-4U (05-13) Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits Form and Instruction Modified Repair queued
Form UI-44 (08-14) Claim for Credit for Military Service Form and Instruction Modified Repair queued
Form UI-9 (06-13) Statement of Employment and Wages Form Modified Repair queued
Form UI-48 (Proposed) Statement Regarding Benefits Claimed for Days Worked Form and Instruction Modified Repair queued
Form UI-48 (08-14) Statement Regarding Benefits Claimed for Days Worked Form and Instruction Modified Repair queued
Form UI-48 (08-14) Statement Regarding Benefit Claim for Days Worked Form and Instruction Modified Repair queued
Form ID-5I (xx-xx) Form Letter; Request for Employment Information Form and Instruction Modified Repair queued
Form ID-5I (08-14) Form Letter; Request for Employment Information Form and Instruction Modified Repair queued
Form ID-5I (08-14) RUIA Investigations (state, local, tribal governments) Form and Instruction Unchanged Available
Form ID-5I (Proposed) Form Letter, Request for Employment Information Form and Instruction Modified Repair queued
Form ID-5R (SUP) (12-00 Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service Form Modified Repair queued
Form ID-5R (SUP) (12-00 RUIA Investigations (private sector respondent) Form Modified Repair queued
Form ID-5I (08-14) Form Letter; Request for Employment Information Form and Instruction Modified Repair queued
3220-0025.docx Supporting Statement A Uploaded 2020-06-22 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
33830 RUIA Continuing Entitlement Form and Instruction ModifiedForms Letter, Advising of Service/Earnings Requirements for Sickness Benefits
33830 RUIA Continuing Entitlement Form and Instruction ModifiedForm Letter, Advising of Service and Earnings Requirements for RUIA Benefits
33830 RUIA Continuing Entitlement Form and Instruction ModifiedClaim for Credit for Military Service
33830 RUIA Continuing Entitlement Form ModifiedStatement of Employment and Wages
33830 RUIA Continuing Entitlement Form and Instruction ModifiedForm Letter; Advising of Service/Earnings Requirements for Sickness Benefits
33830 RUIA Continuing Entitlement Form and Instruction Modified
33830 RUIA Continuing Entitlement Form and Instruction ModifiedForm Letter; Advising of Service and Earnings Requirements for RUIA Benefits
33830 RUIA Continuing Entitlement Form and Instruction ModifiedClaim for Credit for Military Service
33830 RUIA Continuing Entitlement Form ModifiedStatement of Employment and Wages
179869 Statement Regarding Benefit Claim for Days Worked Form and Instruction ModifiedStatement Regarding Benefits Claimed for Days Worked
179869 Statement Regarding Benefit Claim for Days Worked Form and Instruction ModifiedStatement Regarding Benefits Claimed for Days Worked
179869 Statement Regarding Benefit Claim for Days Worked Form and Instruction Modified
179868 RUIA Investigations (state, local, tribal governments) Form and Instruction ModifiedForm Letter; Request for Employment Information
179868 RUIA Investigations (state, local, tribal governments) Form and Instruction ModifiedForm Letter; Request for Employment Information
179868 RUIA Investigations (state, local, tribal governments) Form and Instruction Unchanged
179808 RUIA Investigations (private sector respondent) Form and Instruction ModifiedForm Letter, Request for Employment Information
179808 RUIA Investigations (private sector respondent) Form ModifiedReport of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service
179808 RUIA Investigations (private sector respondent) Form Modified
179808 RUIA Investigations (private sector respondent) Form and Instruction ModifiedForm Letter; Request for Employment Information

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2024 36 Months From Approved 04/30/2021
1,603 0 1,603
349 0 349
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
RUIA Continuing Entitlement ID-4X (Proposed), ID-4X (05-13), UI-9 (06-13), UI-44 (08-14), ID-4U (05-13), UI-9 (Proposed), UI-44 (Proposed), ID-4U (Proposed) ,   ,   ,   ,   ,   ,   ,  
RUIA Investigations (private sector respondent) ID-5I (Proposed), ID-5I (08-14), ID-5R (SUP) (12-00) ,   ,  
RUIA Investigations (state, local, tribal governments) ID-5I (xx-xx), ID-5I (08-14) ,  
Statement Regarding Benefit Claim for Days Worked UI-48 (Proposed), UI-48 (08-14) ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,603 1,603 0 0 0 0
Annual Time Burden (Hours) 349 349 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No