OMB
.report
Search
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
OMB: 1205-0028
IC ID: 12942
OMB.report
DOL/ETA
OMB 1205-0028
ICR 199706-1205-004
IC 12942
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0028 can be found here:
2022-08-30 - Extension without change of a currently approved collection
2019-09-23 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA-538
Yes
Yes
Form
ETA-539
Yes
Yes
Federal Enterprise Architecture Business Reference Module
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:
98 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,512
0
0
0
0
5,512
Annual IC Time Burden (Hours)
3,675
0
0
0
0
3,675
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.