Information Collection

RUIA Claims Notification System

IC 33972 under ICR 202504-3220-018 · OMB 3220-0171.

Documents and Forms

Document Name Document Type
Form ID-4E RUIA Claims Notification System Form
Form ID-4E Notice of RUIA Claim Determination RUIA Claims Notification System Form
Form ID-4E (Internet) Notice of RUIA Claim Determination RUIA Claims Notification System Form
Form ID-4K Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA RUIA Claims Notification System Form
Form ID-4K (Internet) Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA RUIA Claims Notification System Form
ID-4E Notice of RUIA Claim Determination Form ID-4E (11-11).pdf Form
ID-4E Notice of RUIA Claim Determination Form ID-4E (11-11).pdf Form
ID-4E (Internet) Notice of RUIA Claim Determination Form ID-4E (Internet) (02-09).pdf secure.rrb.gov/ERSNet/login.aspx Form
ID-4E (Internet) Notice of RUIA Claim Determination Form ID-4E (Internet) (02-09).pdf secure.rrb.gov/ERSNet/login.aspx Form
ID-4K Prepayment Notice of Employees' Applications and Claims Form ID-4K (11-11).pdf Form
ID-4K Prepayment Notice of Employees' Applications and Claims Form ID-4K (11-11).pdf Form
ID-4K (Internet) Prepayment Notice of Employees' Applications and Claims Form ID-4K (Internet) (02-09).pdf secure.rrb.gov/ERSNet/login.aspx Form
ID-4K (Internet) Prepayment Notice of Employees' Applications and Claims Form ID-4K (Internet) (02-09).pdf secure.rrb.gov/ERSNet/login.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RUIA Claims Notification System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 320.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ID-4E	Notice of RUIA Claim Determination	Form ID-4E (11-11).pdf		Yes	No	Paper Only
Form	ID-4E (Internet)	Notice of RUIA Claim Determination	Form ID-4E (Internet) (02-09).pdf	https://secure.rrb.gov/ERSNet/login.aspx	Yes	Yes	Fillable Fileable Signable
Form	ID-4K	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form ID-4K (11-11).pdf		Yes	No	Paper Only
Form	ID-4K (Internet)	Prepayment Notice of Employees' Applications and Claims for Benefits Under the RUIA	Form ID-4K (Internet) (02-09).pdf	https://secure.rrb.gov/ERSNet/login.aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title: RRB-7, Application for Unemployment Benefits and Palcement Service under the Railroad Unemployment and Insurance Act	FR Citation: 79 FR 58874

Number of Respondents: 80,020	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	80,020	-5,800	85,820
Annual IC Time Burden (Hours)	2,358	-126	2,484
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].