STATE AND NATIONAL A

ICR 197901-1205-005

OMB: 1205-0036

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
168176 Migrated
ICR Details
1205-0036 197901-1205-005
Historical Active 197901-1205-001
DOL/ETA
STATE AND NATIONAL A
No material or nonsubstantive change to a currently approved collection   No
Emergency 01/11/1979
Approved with change 01/11/1979
Retrieve Notice of Action (NOA) 01/11/1979
  Inventory as of this Action Requested Previously Approved
09/30/1978 09/30/1978 02/28/1979
178,000 0 89,000
52,332 0 19,916
0 0 0



None
None


No

1
IC Title Form No. Form Name
STATE AND NATIONAL A ETA 5125, AND 5126

  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 178,000 89,000 0 0 89,000 0
Annual Time Burden (Hours) 52,332 19,916 0 0 32,416 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.
01/11/1979


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