Information Collection

Benefits Timeliness and Quality Review System

IC 13147 under ICR 200701-1205-001 · OMB 1205-0359.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0359 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9056 Nonmonetary Determination Quality Review Benefits Timeliness and Quality Review System	Form and Instruction
Form ETA-9050 First Payment Lapse Report Benefits Timeliness and Quality Review System	Form and Instruction
Form ETA-9051 Continued Weeks Compensated Time Lapse Benefits Timeliness and Quality Review System	Form and Instruction
Form ETA-9052 Nonmonetary Determination Time Lapse Detection Date Benefits Timeliness and Quality Review System	Form
Form ETA-9054 Appeals Time Lapse Benefits Timeliness and Quality Review System	Form
Form ETA-9055 Appeals Case Aging Benefits Timeliness and Quality Review System	Form and Instruction
Form ETA-9057 Lower Authority Appeals Quality Review Benefits Timeliness and Quality Review System	Form and Instruction
Form ETA 9056 Nonmonetary Determination Quality Review Benefits Timeliness and Quality Review System	Form and Instruction
ETA-9056 Nonmonetary Determination Quality Review proposed DCI and Instructions 1 17 07.doc	Form and Instruction
ETA-9050 First Payment Lapse Report ETA 9050 First Payment Time Lapse Report.pdf	Form and Instruction
ETA-9051 Continued Weeks Compensated Time Lapse ETA 9051 Continued Weeks Compendated Time Lapse.pdf	Form and Instruction
ETA-9052 Nonmonetary Determination Time Lapse Detection Date ETA 9052 Nonmonetary Determination Time Lapse Detection Date.pdf	Form
ETA-9054 Appeals Time Lapse ETA 9054 Appeals Time Lapse.pdf	Form
ETA-9055 Appeals Case Aging ETA 9055 Appeals Case Aging.pdf	Form and Instruction
ETA-9057 Lower Authority Appeals Quality Review ETA 9057 Lower Authority Appeals Quality Review.pdf	Form and Instruction
ETA 9056 Nonmonetary Determination Quality Review ETA 9056 Nonmonetary Determination Quality Review.pdf	Form and Instruction
DCI Change Justification 1 17 07.doc Nonmonetary Determination Quality Review Change Justification	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Benefits Timeliness and Quality Review System

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9056	Yes	Yes	Fillable Printable
Form and Instruction	ETA-9050	Yes	Yes	Fillable Printable
Form and Instruction	ETA-9051	Yes	Yes	Fillable Printable
Form	ETA-9052	Yes	Yes	Fillable Printable
Form	ETA-9054	Yes	Yes	Fillable Printable
Form and Instruction	ETA-9055	Yes	Yes	Fillable Printable
Form and Instruction	ETA-9057	Yes	Yes	Fillable Printable
Form and Instruction	ETA 9056	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

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: 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
Nonmonetary Determination Quality Review Change Justification		01/17/2007

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

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