RUIA Claims Notification and Verification System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ID-4K (Internet) Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form	Modified	Available
Form ID-4K Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form	Modified	Available
Form ID-4E (Internet) Notice of RUIA Claim Determination	Form	Modified	Available
Form ID-4E Notice of RUIA Claim Determination	Form	Modified	Available
Form ID-4E RUIA Claims Notification System	Form	Modified	Repair queued
3220-0171 Final.docx	Supporting Statement A	Uploaded 2025-06-13	Available
3220-0171 Final.docx	Supporting Statement A	Uploaded 2025-06-13	Available
Form BA-12 (08-24).pdf	Supplementary Document	Uploaded 2025-06-13	Available
Form BA-12 (08-24).pdf	Supplementary Document	Uploaded 2025-06-13	Repair queued
Program Letter UI-C 229 (01-19).pdf	Supplementary Document	Uploaded 2021-03-30	Available
Program Letter UI-C 229 (01-19).pdf	Supplementary Document	Uploaded 2021-03-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33972	RUIA Claims Notification System	Form	Modified	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA
33972	RUIA Claims Notification System	Form	Modified	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA
33972	RUIA Claims Notification System	Form	Modified	Notice of RUIA Claim Determination
33972	RUIA Claims Notification System	Form	Modified	Notice of RUIA Claim Determination
33972	RUIA Claims Notification System	Form	Modified

ICR Details

OMB Control No: 3220-0171	ICR Reference No: 202504-3220-018
Status: Active	Previous ICR Reference No: 202103-3220-001
Agency/Subagency: RRB	Agency Tracking No:
Title: RUIA Claims Notification and Verification System
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/13/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2028	36 Months From Approved
Responses	80,020	0	0
Time Burden (Hours)	2,358	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Section 5(b) of the RUIA requires that effective January 1, 1990, when a claim for benefits is filed with the Railroad Retirement Board (RRB), the RRB shall provide notice of such claim to the claimant's base-year employer(s) and afford such employer(s) an opportunity to submit information relevant to the claim before making an initial determination on the claim. When the RRB determines to pay benefits to a claimant under the RUIA, the RRB shall provide notice of such determination to the claimant's base-year employer.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 15374	04/10/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 25094	06/13/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
RUIA Claims Notification System	ID-4K (Internet), ID-4E, ID-4E (Internet), ID-4K	Notice of RUIA Claim Determination ,   Notice of RUIA Claim Determination ,   Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA ,   Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	80,020	0	0	0	-5,800	85,820
Annual Time Burden (Hours)	2,358	0	0	0	-126	2,484
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/13/2025

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