Information Collection

Unemployment Insurance (UI) State Quality Service Plan (SQSP)

IC 12977 under ICR 200112-1205-002 · OMB 1205-0132.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Unemployment Insurance (UI) State Quality Service Plan (SQSP)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

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-336-17				Yes	Yes

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: 15 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	835	-9	844
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	0	-53,425,000	53,425,000

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.