Information Collection

Unemployment Insurance Denied Claim Accuracy Measurement Pilot Project

IC 13178 under ICR 199703-1205-002 · OMB 1205-0377.

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IC Title:

Unemployment Insurance Denied Claim Accuracy Measurement Pilot Project

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

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-395				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,900

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,900	9,900
Annual IC Time Burden (Hours)	16,320	16,320
Annual IC Cost Burden (Dollars)	457,000	457,000

Documents for IC

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Title	Document	Date Uploaded

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