OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

RUIA Continuing Entitlement

IC 33830 under ICR 202206-3220-005 · OMB 3220-0025.

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

RUIA Continuing Entitlement
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 336 20 CFR 335 20 CFR 325

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form UI-9 (06-13) Statement of Employment and Wages Form UI-9 (06-13).pdf No   Paper Only
Form and Instruction UI-44 (08-14) Claim for Credit for Military Service Form UI-44 (08-14).pdf No   Paper Only
Form and Instruction ID-4U (05-13) Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits Form ID-4U (05-13).pdf No   Paper Only
Form and Instruction ID-4X (05-13) Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits Form ID-4X (05-13).pdf No   Paper Only
Form UI-9 (Proposed) Statement of Employment and Wages Form UI-9 (XX-XX) - Proposed.pdf No   Paper Only
Form and Instruction UI-44 (Proposed) Claim for Credit for Military Service Form UI-44 (XX-XX) - Proposed.pdf No   Paper Only
Form and Instruction ID-4U (Proposed) Form Letter, Advising of Service and Earnings Requirements for RUIA Benefits Form ID-4U (xx-xx) - Proposed.pdf No   Paper Only
Form and Instruction ID-4X (Proposed) Forms Letter, Advising of Service/Earnings Requirements for Sickness Benefits Form ID-4X (xx-xx) - Proposed.pdf No   Paper Only

Income Security Unemployment Compensation

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

139 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 139 0 0 0 0 139
Annual IC Time Burden (Hours) 17 0 0 0 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form Letter ID-4; Requesting Additional Information on Wages and Service Form ID-4 (05-13).pdf 08/28/2013
Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits Form ID-4S-2 (05-13).pdf 08/28/2013
Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits Form ID-4S-1 (05-13).pdf 08/28/2013
Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service Form ID-32N (05-04).pdf 08/28/2013
Form Letter ID-19, Establishing Military Service Credits Form ID-19 (08-14).pdf 04/21/2017
Form Letter ID-4F, Advising of Ineligibility for Unemployment Benefits Form ID-4F (04-15).pdf 04/21/2017
Form Letter ID-4Y, Advising of Ineligibility for Sickness Benefits Form ID-4Y (04-15).pdf 04/21/2017
Form Letter ID-20-1, Advising that Normal Unemployment Benefits are about to be Exhausted Form ID-20-1 (04-15).pdf 04/21/2017
Form Letter ID-20-2, Advising that Normal Sickness Benefits are about to be Exhausted Form ID-20-2 (04-15).pdf 04/21/2017
Form ID-20-4, Advising that Normal Sickness Benefits are about to Exhausted/Non-Entitlement Form ID-20-4 (04-15).pdf 04/21/2017
Form UI-23, Statement of Service for Railroad Unemployment Insurance Benefits Form UI-23 (08-16).pdf 04/21/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.