Information Collection

RUIA Investigations (state, local, tribal governments)

IC 179868 under ICR 202403-3220-001 · OMB 3220-0025.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ID-5I (06-22) RUIA Investigations (state, local, tribal governments)	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

IC Title:

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	URL	Available Electronically?	Can Be Submitted 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

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: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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