Certification Regarding Rights to Unemployment Benefits

ICR 202308-3220-003

OMB: 3220-0079

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement A
2023-08-28
Supplementary Document
2014-02-28
Supplementary Document
2014-02-28
Supplementary Document
2017-02-10
Supplementary Document
2017-02-10
IC Document Collections
IC ID
Document
Title
Status
33878 Unchanged
ICR Details
3220-0079 202308-3220-003
Received in OIRA 202005-3220-001
RRB
Certification Regarding Rights to Unemployment Benefits
Extension without change of a currently approved collection   No
Regular 09/05/2023
  Requested Previously Approved
36 Months From Approved 09/30/2023
200 200
50 50
0 0

In administering the disqualification for the voluntary leaving of work provision of Section 4 of the Railroad Unemployment Insurance Act, the Railroad Retirement Board investigates an unemployment claim that indicates the claimant left voluntarily. The certification obtains information needed to determine if the leaving was for good cause.

US Code: 45 USC 355 Name of Law: Railroad Unemployment Insurance Act
   US Code: 45 USC 362(l) Name of Law: Railroad Unemployment Insurance Act
  
None

Not associated with rulemaking

  88 FR 41993 06/28/2023
88 FR 60511 09/01/2023
No

1
IC Title Form No. Form Name
Certification Regarding Rights to Unemployment Benefits UI-45 (11-16) Claimant's Statement - Voluntary Leaving of Work

  Total Request 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 200 200 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    Yes
    Yes
No
No
No
No
Brian Foster 312 751-4826 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/05/2023


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