Information Collection

Benefit Rights and Experience Report

IC 13018 under ICR 200702-1205-005 · OMB 1205-0177.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0177 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 218 Benefit Rights and Experience Report	Form and Instruction
ETA 218 Benefit Rights and Experience ETA218_401 3 30 07.doc	Form and Instruction

IC Title:

Benefit Rights and Experience Report

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 and Instruction	ETA 218	Benefit Rights and Experience	ETA218_401 3 30 07.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: 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	Previously Approved
Annual Number of Responses for this IC	216	216
Annual IC Time Burden (Hours)	108	108
Annual IC Cost Burden (Dollars)	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.