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 aspects of the forms, including suggestions for reducing completion time, to the Associate Chief Information Officer for Policy and Compliance, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611-1275. Be sure to include the form title with your comments.

Form
Number
Title Estimated
Completion Time
(Minutes)
SI-3 Claim for Sickness Benefits (3220-0039) 5