Document Name Document Type
Form ID-20-1(proposed) RUIA Continuing Entitlement Form and Instruction
UI-9 Applicant's Statement of Employment and Wages Form UI-9 (11-00).pdf Form
UI-23 Claimant's Statement of Service for Railroad Unemploymen Form UI-23 (11-00).pdf Form and Instruction
UI-44 Claim for Credit for Military Service Form UI-44 (11-00).pdf Form and Instruction
ID-4F Form Letter; Advising of Ineligibility for RUIA Benefits Form ID-4F current (11-00).pdf Form and Instruction
ID-4U Form Letter; Advising of Service and Earnings Requiremen Form ID-4U current (11-00).pdf Form and Instruction
ID-4X Form Letter; Advising of Service/Earnings Requirements f Form ID-4X current (11-00).pdf Form and Instruction
ID-4Y Form Letter; Advising of Ineligibility for Sickness Bene Form ID-4Y current (11-00).pdf Form and Instruction
ID-20-1 Form Letter; Advising That Normal Unemployment Benefits Form ID-20-1 current (11-00).pdf Form and Instruction
ID-20-2 Form Letter; Advising that Normal Sickness Benefits Are Form ID-20-2 current (11-00).pdf Form and Instruction
ID-20-4 Form Letter; Advising that Normal Sickness Benefits are Form ID-20-4 current (11-00).pdf Form and Instruction
ID-4F (proposed) Form Letter; Advising of Ineligibility for RUIA Benefits Form ID-4F (proposed).pdf Form and Instruction
ID-4U (proposed) Form Letter; Advising of Service/Earnings Requirements f Form ID-4U (proposed).pdf Form and Instruction
ID-4X (proposed) Form Letter; Advising of Sickness/Earnings Requirements Form ID-4X (proposed).pdf Form and Instruction
ID-4Y (proposed) Form Letter; Advising of Ineligibility for Sickness Bene Form ID-4Y (proposed).pdf Form and Instruction
ID-20-1(proposed) Form Letter; Advising That Normal Unemployment Benefits Form ID-20-1 (proposed).pdf Form and Instruction
ID-20-2 (proposed) Form Letter; Advising That Normal Sickness Benefits Are Form ID-20-2 (proposed).pdf Form and Instruction
ID-20-4 (proposed) Form Letter; Advising That Normal Sickness Benefits Are Form ID-20-4 (proposed).pdf Form and Instruction
Form ID-4 (09-99).pdf Form Letter ID-4; Requesting Additional Information on Wages and Service IC Document
Form ID-4- S-2 (09-99).pdf Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits IC Document
Form ID-4-S-1 (09-99).pdf Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits IC Document
Form ID-32N (09-93).pdf Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service IC Document

Information Collection (IC) Details

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IC Title:	RUIA Continuing Entitlement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 336 20 CFR 325 20 CFR 335

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	ID-20-1(proposed)	Form Letter; Advising That Normal Unemployment Benefits Are About to Be Exhausted	Form ID-20-1 (proposed).pdf	No	Paper Only
Form and Instruction	ID-20-2 (proposed)	Form Letter; Advising That Normal Sickness Benefits Are About to Be Exhausted	Form ID-20-2 (proposed).pdf	No	Paper Only
Form and Instruction	ID-20-4 (proposed)	Form Letter; Advising That Normal Sickness Benefits Are About to Be Exhausted/Non-Entitlement	Form ID-20-4 (proposed).pdf	No	Paper Only
Form and Instruction	ID-20-1	Form Letter; Advising That Normal Unemployment Benefits Are About to Be Exhausted	Form ID-20-1 current (11-00).pdf	No	Paper Only
Form and Instruction	ID-20-2	Form Letter; Advising that Normal Sickness Benefits Are About To Be Exhausted	Form ID-20-2 current (11-00).pdf	No	Paper Only
Form and Instruction	ID-20-4	Form Letter; Advising that Normal Sickness Benefits are About to Be Exhausted/Non-Entitlement	Form ID-20-4 current (11-00).pdf	No	Paper Only
Form and Instruction	ID-4F (proposed)	Form Letter; Advising of Ineligibility for RUIA Benefits	Form ID-4F (proposed).pdf	No	Paper Only
Form and Instruction	ID-4U (proposed)	Form Letter; Advising of Service/Earnings Requirements for RUIA Benefits	Form ID-4U (proposed).pdf	No	Paper Only
Form and Instruction	ID-4X (proposed)	Form Letter; Advising of Sickness/Earnings Requirements for Sickness Benefits	Form ID-4X (proposed).pdf	No	Paper Only
Form and Instruction	ID-4Y (proposed)	Form Letter; Advising of Ineligibility for Sickness Benefits	Form ID-4Y (proposed).pdf	No	Paper Only
Form	UI-9	Applicant's Statement of Employment and Wages	Form UI-9 (11-00).pdf	No	Paper Only
Form and Instruction	UI-23	Claimant's Statement of Service for Railroad Unemployment Insurance Benefits	Form UI-23 (11-00).pdf	No	Paper Only
Form and Instruction	UI-44	Claim for Credit for Military Service	Form UI-44 (11-00).pdf	No	Paper Only
Form and Instruction	ID-4F	Form Letter; Advising of Ineligibility for RUIA Benefits	Form ID-4F current (11-00).pdf	No	Paper Only
Form and Instruction	ID-4U	Form Letter; Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4U current (11-00).pdf	No	Paper Only
Form and Instruction	ID-4X	Form Letter; Advising of Service/Earnings Requirements for Sickness Benefits	Form ID-4X current (11-00).pdf	No	Paper Only
Form and Instruction	ID-4Y	Form Letter; Advising of Ineligibility for Sickness Benefits	Form ID-4Y current (11-00).pdf	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title: RRB-21, Railroad Unemployment and Sickness Insurance Benefit System	FR Citation: 40 FR 36275

Number of Respondents: 2,005	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	2,005	-5,900	7,905
Annual IC Time Burden (Hours)	234	-1,388	1,622
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Form Letter ID-4; Requesting Additional Information on Wages and Service	Form ID-4 (09-99).pdf	09/01/1999
Form Letter ID-4-S-2; Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4- S-2 (09-99).pdf	09/01/1999
Form Letter ID-4-S-1, Advising of Service and Earnings Requirements for RUIA Benefits	Form ID-4-S-1 (09-99).pdf	09/01/1999
Form Letter ID-32N; Establishing Extended Sickness Benefits and Data on Individual Service	Form ID-32N (09-93).pdf	09/01/1993

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

RUIA Continuing Entitlement

RUIA Investigations and Continuing Entitlement

OMB: 3220-0025

IC ID: 33830

View Information Collection (IC)