Privacy Act Notice
To receive
unemployment benefits you must apply and furnish information. Information
that the Railroad Retirement Board (RRB) asks you to furnish is used to
determine if you are eligible for benefits and the amount of benefits payable to
you. Although furnishing information, including your social security number, is
voluntary, the RRB cannot pay you benefits without this information. The RRB’s
authority for requesting information is section 5(b) of the Railroad
Unemployment Insurance Act.
The RRB may routinely furnish information from its records to the following
individuals, organizations, and/or agencies to administer the Railroad
Unemployment Insurance Act, the Social Security Act, or other benefit programs
under Federal and State laws:
- The U.S. Treasury Department and the U.S. Postal Service, to issue
benefit payments and to report non-delivery, forgery, theft, or loss of
a benefit check.
- A person or company which the claimant reports may award pay for time lost
or some similar payment for the same period for which the RRB pays benefits.
- Persons or companies named by the claimant as liable for paying damages
for the same injury or illness for which the RRB pays sickness benefits.
- The Internal Revenue Service for use in administering Federal tax laws.
- A private collection agency, the General Accounting Office, the Department
of Justice or the Internal Revenue Service for the collection of an
overpayment.
- Employers or insurance companies for use in administering supplemental
benefit plans.
- Law enforcement agencies and the Department of Justice for investigating
or prosecuting a violation of law.
- Employers to verify entitlement to benefits and to provide notice of
benefit payment determinations.
- State unemployment agencies to verify entitlement to benefits.
Other than information that may be disclosed routinely, no information
about your claim may be disclosed without your consent.
Computer Matching and Privacy Protection Act Notice
In addition to
the uses of information described in the preceding Privacy Act Notice,
information you provide may be used, without your consent, in automated
matching programs. These matching programs are a computer comparison of
Railroad Retirement Board records with records kept by other Federal
agencies or State and local governmental agencies. Information from
these matching programs is used to establish or verify a person’s
eligibility for benefits and for repayment of benefits or delinquent
debts.
What are Computer Matching Programs?
Computer matching programs compare our records with those of other
Federal, State, or local government agencies. All agencies may use
matching programs to find or prove that a person qualifies for benefits
paid for by the Federal government.
How do Computer Matching Programs Affect You?
On forms that you fill out for us, you give us facts about yourself.
Sometimes, we check the facts you and others give us. We use computer
matching to do the checking. The law allows us to check this way even
if you do not agree to it. We can also give any facts we have about you
to other government agencies for them to use in their computer matching
programs.
Paperwork Reduction Act Notice
To receive unemployment benefits, you
must complete an application and claim form(s). Estimates of how long
we think it takes to complete these forms are shown below. The
estimates include time for reviewing the instructions, getting the
needed information, and reviewing the completed form. Federal agencies
may not conduct or sponsor, and respondents are not required to respond
to, a collection of information unless it displays a valid OMB number.
If you wish, send comments regarding the accuracy of our estimates or
other aspect of the forms, including suggestions for reducing
completion time, to: Chief of Information Services
U.S. Railroad Retirement Board
844 North Rush Street, 4th floor
Chicago, IL 60611-2092
Be sure to include the form title with your comments.
UI-1 |
Application for Unemployment Benefits and Employment Service
(3220-0022) |
10 |
UI-1 |
Internet Application for Unemployment Benefits and Employment
Service
(3220-0022) |
10 |
UI-3 |
Claim for Unemployment Benefits
(3220-0022) |
6 |
UI-3 |
Internet Claim for Unemployment Benefits
(3220-0022) |
6 |
|