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 other government agencies and to other persons or companies
for the purpose of administering the Railroad Unemployment
Insurance Act, the Social Security Act or other benefit
programs under Federal and State laws.
The RRB routinely furnishes information from its records
to the following individuals, organizations and/or agencies:
- 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 aspects of the forms, including suggestions for
reducing completion time, to the Chief of Information
Management, Railroad Retirement Board, 844 North Rush
Street, Chicago, Illinois 60611-2092. Be sure to include the
form title with your comments.
Form No. |
Title |
Estimated
Completion Time (Minutes) |
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 |
Nondiscrimination
on the Basis of Disability — Under
Section 504 of the Rehabilitation Act of 1973 and Railroad
Retirement Board (RRB) regulations, no qualified person
may be discriminated against on the basis of disability.
RRB programs and activities must be accessible to all qualified
applicants and beneficiaries, including those who are vision
or hearing impaired. Disabled persons needing assistance
(including auxiliary aids or program information in accessible
formats) should contact the nearest RRB office. Complaints
of alleged discrimination by the RRB on the basis of disability
must be filed within 90 days in writing with the Director
of Administration, Railroad Retirement Board, 844 North
Rush Street, Chicago, Illinois 60611-2092. Questions about
individual rights under this regulation may be directed
to the RRB's Director of Equal Opportunity at the same address.
Fraud
and Abuse Hotline — Call the toll-free Fraud
and Abuse Hot Line if you have reason to believe that someone
is receiving railroad retirement or unemployment/sickness
benefits to which (s)he is not entitled; that persons responsible
for the financial affairs of minors or incompetent beneficiaries
are misappropriating benefits; or that a doctor, hospital,
or other provider of health care services is performing
unnecessary or inappropriate services or is billing Medicare
or services not received. You may also use the Hot Line
to report any suspected misconduct by a Railroad Retirement
Board (RRB) employee. The Hot Line has been installed by
the RRB's Inspector General to receive any evidence of fraud
or abuse of the RRB's benefit programs.
Call (toll-free) 1-800-772-4258. Or you may send your complaints
in writing to the RRB, OIG, Hot Line Officer, 844
North Rush Street, Chicago, Illinois 60611-2092.
Please do not call the Inspector General's Hot Line with
questions about eligibility requirements, delayed claims,
or similar problems. Such matters should be directed to
the nearest RRB field office.
|