UNEMPLOYMENT INSURANCE CLAIMANTS REFERRAL REPORT

ICR 197502-3220-010

OMB: 3220-0026

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
176913 Migrated
ICR Details
3220-0026 197502-3220-010
Historical Active 197502-3220-004
RRB
UNEMPLOYMENT INSURANCE CLAIMANTS REFERRAL REPORT
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/21/1975
Approved with change 02/21/1975
Retrieve Notice of Action (NOA) 02/21/1975
  Inventory as of this Action Requested Previously Approved
03/31/1980 03/31/1980 03/31/1980
5,000 0 5,000
250 0 250
0 0 0



None
None


No

1
IC Title Form No. Form Name
UNEMPLOYMENT INSURANCE CLAIMANTS REFERRAL REPORT ES-20A, ES-20B

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 250 250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
02/21/1975


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