Information Collection

Benefits Timeliness and Quality Review System

IC 13147 under ICR 200409-1205-002 · OMB 1205-0359.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Benefits Timeliness and Quality Review System

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.	Available Electronically?	Can Be Submitted Electronically?
Form	ETA-9050	Yes	Yes
Form	ETA-9054	Yes	Yes
Form	ETA-9057	Yes	Yes
Form	ETA-9056	Yes	Yes
Form	ETA-9051	Yes	Yes
Form	ETA-9055	Yes	Yes
Form	ETA-9052	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: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	28,912	28,912
Annual IC Time Burden (Hours)	38,168	38,168
Annual IC Cost Burden (Dollars)	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.