Information Collection

Benefit Accuracy Measurement (BAM) Program

IC 43790 under ICR 200612-1205-005 · OMB 1205-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0245 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-395 Benefit Accuracy Measurement (BAM) Program	Form and Instruction
ETA-395 Benefits Accuracy Measurement HB 395 CHAPTER VI Rev 2 15 06.doc	Form and Instruction
Statement regarding non-material change 12 05 06.doc Justification for Change	IC Document

IC Title:

Benefit Accuracy Measurement (BAM) Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	ETA-395	Benefits Accuracy Measurement	HB 395 CHAPTER VI Rev 2 15 06.doc		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 188,984

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	47,160	-500,000	547,160
Annual IC Time Burden (Hours)	429,805	0	429,805
Annual IC Cost Burden (Dollars)	542,000	0	542,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Change	Statement regarding non-material change 12 05 06.doc	12/21/2006

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