Information Collection

Benefit Accuracy Measurement

IC 13079 under ICR 200101-1205-002 · OMB 1205-0245.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Benefit Accuracy Measurement

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	ETAHANDBOOK395				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

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	Previously Approved
Annual Number of Responses for this IC	47,160	23,400	23,760
Annual IC Time Burden (Hours)	255,694	180,375	75,319
Annual IC Cost Burden (Dollars)	442,000	336,000	106,000

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.