Information Collection

Preliminary Estimates of Average Employer Contribution Rates

IC 13064 under ICR 200612-1205-003 · OMB 1205-0228.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-205 Preliminary Estimates of Average Employer Contribution Rates	Form
ETA-205 Handbook 401 Instructions 401 instructions.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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-205	Handbook 401 Instructions	401 instructions.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	53	52	1
Annual IC Time Burden (Hours)	14	0	14
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.