OMB control number

Placement Service

OMB 3220-0057 · RRB.

OMB 3220-0057

Under the RUIA, the Railroad Retirement Board provides job placement assistance for unemployed railroad workers. The collection obtains information from job applicants, railroad employers, and State Employment Service offices for use in placement, for providing referrals for job openings, reports of referral results and for verifying and monitoring claimant eligibility.

The latest form for Placement Service expires 2027-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ES-21 (11-07) Placement Service Form
Form ES-21c (07-05) Report of State Employment Service Office Form
3220-0057 .docx Supporting Statement A
Placement Service Form
Report of State Employment Service Office Form
Railroad Job Vacancies List Instruction

All Historical Document Collections

202311-3220-002 Approved without change	Extension without change of a currently approved collection	2023-11-30
202004-3220-002 Approved without change	Revision of a currently approved collection	2020-05-22
201702-3220-001 Approved without change	Extension without change of a currently approved collection	2017-03-10
201401-3220-002 Approved without change	Extension without change of a currently approved collection	2014-02-15
201010-3220-006 Approved without change	Extension without change of a currently approved collection	2010-11-29
200708-3220-003 Approved without change	Revision of a currently approved collection	2007-08-28
200407-3220-002 Approved without change	Revision of a currently approved collection	2004-07-06
200105-3220-001 Approved without change	Extension without change of a currently approved collection	2001-05-21
199804-3220-003 Approved without change	Revision of a currently approved collection	1998-04-24
199503-3220-001 Approved without change	Revision of a currently approved collection	1995-03-06
199202-3220-001 Approved without change	Revision of a currently approved collection	1992-02-04
199009-3220-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-09-26
198811-3220-001 Approved without change	Revision of a currently approved collection	1988-11-03
198510-3220-003 Approved without change	Revision of a currently approved collection	1985-10-23
198509-3220-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-06
198211-3220-002 Approved without change	Revision of a currently approved collection	1982-11-17
198105-3220-041 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-05-29
198103-3220-023 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-03-21
198102-3220-019 Approved without change	Reinstatement with change of a previously approved collection	1981-02-19
198012-3220-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-12-26
197910-3220-002 Approved without change	Revision of a currently approved collection	1979-10-30
197907-3220-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-07-18
197407-3220-001 Approved without change	New collection (Request for a new OMB Control Number)	1974-07-25

OMB Details

Placement Service

Federal Enterprise Architecture: Income Security - Unemployment Compensation

Form ES-21 (11-07)	Referral to State Employment Service	Paper Only	Form
Form UI-35 (08-23)	Field Office Record of Claimant Interview	Paper Only	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.