OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Employer Service and Compensation Reports

OMB 3220-0070 · RRB.

OMB 3220-0070

The reports obtain the employee's service and compensation for a period subsequent to those already on file and the employee's base year compensation. The information is used to determine the entitlement to and the amount of benefits payable.

The latest form for Employer Service and Compensation Reports expires 2029-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form UI-41a (XX-XX) - P Supplemental Report of Compensation (document unavailable)
Form
Form UI-41 (XX-XX) - Pr Supplemental Report of Service and Compensation (document unavailable)
Form
Form
Form
Supporting Statement A
All Historical Document Collections
 Revision of a currently approved collection 2026-02-19
Approved without change
 Extension without change of a currently approved collection 2023-01-27
Approved without change
 Revision of a currently approved collection 2019-12-23
Approved without change
 Extension without change of a currently approved collection 2016-10-26
Approved without change
 Extension without change of a currently approved collection 2013-09-27
Approved without change
 Extension without change of a currently approved collection 2010-08-25
Approved without change
 Extension without change of a currently approved collection 2007-06-25
Approved without change
 Extension without change of a currently approved collection 2004-06-25
Approved without change
 Revision of a currently approved collection 2001-08-03
Approved without change
 Revision of a currently approved collection 1998-07-13
Approved without change
 Extension without change of a currently approved collection 1995-06-30
Approved without change
 Revision of a currently approved collection 1992-09-02
Approved without change
 Revision of a currently approved collection 1989-05-26
Approved without change
 Extension without change of a currently approved collection 1986-02-03
Approved without change
 Revision of a currently approved collection 1983-02-16
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-05-29
Approved without change
 Extension without change of a currently approved collection 1980-05-28
Approved without change
 Extension without change of a currently approved collection 1979-04-27
Approved without change
 Extension without change of a currently approved collection 1979-03-14
Approved without change
 Extension without change of a currently approved collection 1978-03-31
Approved without change
 Extension without change of a currently approved collection 1978-03-06