Information Collection

Weekly Claims And Extended Benefits Data And Weekly Initial And Continued Claims Report

IC 120618 under ICR 199207-1205-003 · OMB 1205-0028.

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Documents and Forms

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IC Title:

WEEKLY CLAIMS AND EXTENDED BENEFITS DATA AND WEEKLY INITIAL AND CONTINUED CLAIMS REPORT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 538				No	No
Form	539				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,512	2,756	2,756
Annual IC Time Burden (Hours)	3,675	230	3,445
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.