Information Collection

RUIA Investigations (private sector respondent)

IC 179808 under ICR 202006-3220-002 · OMB 3220-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ID-5R (SUP) (12-00 RUIA Investigations (private sector respondent)	Form
ID-5I (08-14) Form Letter; Request for Employment Information Form ID-5I (08-14).pdf	Form and Instruction
ID-5R (SUP) (12-00 Report of Employees Paid RUIA Benefits for Every Day in Form ID-5R (SUP) (12-00).pdf	Form
ID-5I (Proposed) Form Letter, Request for Employment Information Form ID-5I (xx-xx) - Proposed.pdf	Form and Instruction
Form ID-5R (08-14).pdf ID-5R; Form Letter, Request for Employment Information	IC Document

IC Title:

RUIA Investigations (private sector respondent)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 322.4

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	ID-5R (SUP) (12-00)	Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service	Form ID-5R (SUP) (12-00).pdf	No	Paper Only
Form and Instruction	ID-5I (Proposed)	Form Letter, Request for Employment Information	Form ID-5I (xx-xx) - Proposed.pdf	No	Paper Only
Form and Instruction	ID-5I (08-14)	Form Letter; Request for Employment Information	Form ID-5I (08-14).pdf	No	Paper Only

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title: RRB-6, Unemployment Insurance Record File

FR Citation: 79 FR 58874

Number of Respondents: 1,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	317	317
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ID-5R; Form Letter, Request for Employment Information	Form ID-5R (08-14).pdf	04/21/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.