OMB control number

Application and Claim for Unemployment Benefits and Employment Service

OMB 3220-0022 · RRB.

OMB 3220-0022

Under Section 2 of the Railroad Unemployment Insurance Act, unemployment benefits are provided for qualified railroad employees. The collection obtains the information needed to determine the eligibility to and amount of such benefits for railroad employees.

The latest form for Application and Claim for Unemployment Benefits and Employment Service expires 2027-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form UI-1 (03-12) Application and Claim for Unemployment Benefits and Employment Service Form
3220-0022 .docx Supporting Statement A
Application and Claim for Unemployment Benefits and Employment Service Form

All Historical Document Collections

202311-3220-001 Approved without change	Revision of a currently approved collection	2023-11-30
202006-3220-001 Approved without change	Extension without change of a currently approved collection	2020-06-23
201703-3220-001 Approved without change	Extension without change of a currently approved collection	2017-04-28
201401-3220-001 Approved without change	Extension without change of a currently approved collection	2014-03-30
201012-3220-003 Approved without change	Extension without change of a currently approved collection	2010-12-23
200710-3220-001 Approved without change	Revision of a currently approved collection	2007-10-30
200409-3220-002 Approved without change	Revision of a currently approved collection	2004-09-14
200308-3220-002 Approved without change	Revision of a currently approved collection	2003-08-12
200004-3220-002 Approved without change	Revision of a currently approved collection	2000-04-18
199704-3220-001 Approved without change	Revision of a currently approved collection	1997-04-01
199501-3220-002 Approved without change	Revision of a currently approved collection	1995-01-19
199309-3220-002 Approved without change	Revision of a currently approved collection	1993-09-15
199208-3220-003 Approved without change	Revision of a currently approved collection	1992-08-31
198906-3220-001 Approved without change	Revision of a currently approved collection	1989-06-22
198709-3220-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-09-30
198704-3220-003 Approved without change	Revision of a currently approved collection	1987-04-28
198609-3220-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-09-30
198509-3220-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-06
198404-3220-001 Approved without change	Revision of a currently approved collection	1984-04-24
198202-3220-002 Approved without change	Revision of a currently approved collection	1982-02-24
198105-3220-025 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-28
198103-3220-005 Approved without change	Revision of a currently approved collection	1981-03-30
197710-3220-001 Approved without change	Revision of a currently approved collection	1977-10-13
197702-3220-001 Approved without change	Extension without change of a currently approved collection	1977-02-17
197512-3220-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-12-22
197504-3220-006 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-04-05