Statements Of Claimed Railroad Service And Earnings

STATEMENTS OF CLAIMED RAILROAD SERVICE AND EARNINGS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0025 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	STATEMENTS OF CLAIMED RAILROAD SERVICE AND EARNINGS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	UI-9, UI-23,	No	No
Form	ID-4F, ID-4U	No	No
Form	ID-4X, ID-4Y	No	No
Form	ID-20-1	No	No
Form	ID-20-2	No	No
Form	ID-20-4	No	No
Form	ID-20-5	No	No
Form	ID-20-7	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,725	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,725	3,375	2,350
Annual IC Time Burden (Hours)	578	282	296
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.