EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES)

ICR 197606-1205-001

OMB: 1205-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1205-0003 197606-1205-001
Historical Active
DOL/ETA
EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/30/1976
Retrieve Notice of Action (NOA) 06/23/1976
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981
650,000 0 0
95,000 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES) ES-330

  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 650,000 0 0 0 650,000 0
Annual Time Burden (Hours) 95,000 0 0 0 95,000 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.
06/23/1976


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