APPEALS FROM DETERMINATIONS UNDER RAILROAD UNEMPLOYMENT INSURANCE ACT

ICR 198102-3220-043

OMB: 3220-0020

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0020 198102-3220-043
Historical Active 198101-3220-004
RRB
APPEALS FROM DETERMINATIONS UNDER RAILROAD UNEMPLOYMENT INSURANCE ACT
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/18/1981
Approved with change 02/18/1981
Retrieve Notice of Action (NOA) 02/18/1981
  Inventory as of this Action Requested Previously Approved
01/31/1984 01/31/1984 01/31/1984
100 0 100
33 0 33
0 0 0

UNDER SECTION 5 OF THE RAILROAD UNEMPLOYMENT INSURANCE ACT AN EMPLOYEE AGGRIEVED BY A DECISION ON HIS OR HER CLAIM FOR BENEFITS HAS THE RIGHT TO APPEAL TO THE BOARD. THE APPLICATION WILL PROVIDE THE MEANS FOR INITIATING THE APPEALS ACTION.

None
None


No

1
IC Title Form No. Form Name
APPEALS FROM DETERMINATIONS UNDER RAILROAD UNEMPLOYMENT INSURANCE ACT UI-86

  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 100 100 0 0 0 0
Annual Time Burden (Hours) 33 33 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/18/1981


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