Information Collection Request

Employer Service and Compensation Reports

ICR 202507-3220-002 · OMB 3220-0070 · Active

Forms and Documents
IC Document Collections
IC IDCollectionTypeStatusForm
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Service and Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Service and Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Service and Compensation
33875 Employer Service and Compensation Reports Form ModifiedSupplemental Report of Service and Compensation
33875 Employer Service and Compensation Reports Form Modified
ICR Details
3220-0070 202507-3220-002
Active 202301-3220-002
RRB
Employer Service and Compensation Reports
Revision of a currently approved collection   No
Regular
Approved without change 05/13/2026
Retrieve Notice of Action (NOA) 02/19/2026
  Inventory as of this Action Requested Previously Approved
05/31/2029 36 Months From Approved 05/31/2026
380 0 150
51 0 20
0 0 0

The reports obtain the employee's service and compensation for a period subsequent to those already on file and the employee's base year compensation. The information is used to determine the entitlement to and the amount of benefits payable.

US Code: 45 USC 362(l) Name of Law: Railroad Unemployment Insurance Act
   US Code: 45 USC 231(b)(6) Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  90 FR 58638 12/17/2025
91 FR 6913 02/13/2026
No

1
IC Title Form No. Form Name
Employer Service and Compensation Reports UI-41 (XX-XX) - Proposed, UI-41a (XX-XX) - Proposed, UI-41 (08-17), UI-41a (07-19) Supplemental Report of Service and Compensation ,   Supplemental Report of Compensation ,   Supplemental Report of Service and Compensation ,   Supplemental Report of Compensation

  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 380 150 0 0 230 0
Annual Time Burden (Hours) 51 20 0 0 31 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
While conducting a review of number of responses received since the last clearance, it was determined the number of responses increased from 150 to 380 and the burden increased from 20 to 51. The new estimated responses more accurately reflect the current burden.

$0
No
    Yes
    Yes
No
No
No
No
Brian Foster 312 751-4826 [email protected]

  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.
02/19/2026