Information Collection

RUIA Investigations (private sector respondent)

IC 179808 under ICR 202403-3220-001 · OMB 3220-0025.

Documents and Forms

Document Name Document Type
Form ID-5I (06-22) RUIA Investigations (private sector respondent) Form and Instruction
ID-5I (06-22) Form Letter; Request for Employment Information Form ID-5I (06-22).pdf Form and Instruction
ID-5I (06-22) Form Letter; Request for Employment Information Form ID-5I (06-22).pdf Form and Instruction
ID-5R (SUP) (08-14 Report of Employees Paid RUIA Benefits for Every Day in Form ID-5R (SUP) (08-14).pdf Form
ID-5R (SUP) (08-14 Report of Employees Paid RUIA Benefits for Every Day in Form ID-5R (SUP) (08-14).pdf Form
ID-5I (XX-XX) Form Letter; Request for Employment Information Form ID-5I (xx-xx) - Proposed.pdf Form and Instruction
ID-5I (XX-XX) Form Letter; Request for Employment Information Form ID-5I (xx-xx) - Proposed.pdf Form and Instruction
ID-5R (SUP) - (XX- Report of Employees Paid RUIA Benefits for Every Day in Form ID-5R (SUP) (XX-XX) - Proposed.pdf Form
ID-5R (SUP) - (XX- Report of Employees Paid RUIA Benefits for Every Day in Form ID-5R (SUP) (XX-XX) - Proposed.pdf Form
Form ID-5R (08-14).pdf ID-5R; Form Letter, Request for Employment Information IC Document
Form ID-5R (08-14).pdf ID-5R; Form Letter, Request for Employment Information IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	ID-5I (06-22)	Form Letter; Request for Employment Information	Form ID-5I (06-22).pdf	No	Paper Only
Form	ID-5R (SUP) (08-14)	Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service	Form ID-5R (SUP) (08-14).pdf	No	Paper Only
Form and Instruction	ID-5I (XX-XX)	Form Letter; Request for Employment Information	Form ID-5I (xx-xx) - Proposed.pdf	No	Paper Only
Form	ID-5R (SUP) - (XX-XX)	Report of Employees Paid RUIA Benefits for Every Day in Month Reported as Month of Creditable Service	Form ID-5R (SUP) (XX-XX) - Proposed.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 %

	Approved	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

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.