Information Collection

Unemployment Insurance Trust Fund Activity

IC 12998 under ICR 200902-1205-002 · OMB 1205-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-8401 Unemployment Insurance Trust Fund Activity	Form and Instruction
ETA-8401 Monthly Analysis of Benefit Payment Account SectionIII_BankingActivity_ETA 8401 cor.doc	Form and Instruction
ETA-8405 Banking Activity: Monthly Analysis of Clearing Account SectionIII_BankingActivity_ETA 8405 cor.doc	Form and Instruction
ETA-8403 Summary of Financial Transactions - Title IX Funds SectionIII_BankingActivity_ETA 8403 cor.doc	Form and Instruction
ETA-8413 Income-Expense Analysis UC Fund Benefit Payment Account SectionIII_BankingActivity_ETA 8413 cor.doc	Form and Instruction
ETA-8414 Income-Espense Analysis UC Fund Benefit Payment Account SectionIII_BankingActivity_ETA 8414 cor.doc	Form and Instruction
ETA-2112 UI Financial Transaction Summary highlighted SectionII_FundManagementActivity_ETA 2112 022009 (4) cor.doc	Form and Instruction
ETA Handbook 402_5th.pdf ETA Handbook 402	IC Document
EB Program - Temp Changes - UW SF Act.pdf Extended Benefits Program UIPL	IC Document
New Temp FAC Program.pdf New Temporary Federal Assistance Compensation Program	IC Document

IC Title:

Unemployment Insurance Trust Fund Activity

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 601.5(a)(1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-8401	Monthly Analysis of Benefit Payment Account	SectionIII_BankingActivity_ETA 8401 cor.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-8405	Banking Activity: Monthly Analysis of Clearing Account	SectionIII_BankingActivity_ETA 8405 cor.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-8403	Summary of Financial Transactions - Title IX Funds	SectionIII_BankingActivity_ETA 8403 cor.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-8413	Income-Expense Analysis UC Fund Benefit Payment Account	SectionIII_BankingActivity_ETA 8413 cor.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-8414	Income-Espense Analysis UC Fund Benefit Payment Account	SectionIII_BankingActivity_ETA 8414 cor.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-2112	UI Financial Transaction Summary	highlighted SectionII_FundManagementActivity_ETA 2112 022009 (4) cor.doc	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

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	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	3,498	0	3,498
Annual IC Time Burden (Hours)	1,802	53	1,749
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ETA Handbook 402	ETA Handbook 402_5th.pdf	02/20/2009
Extended Benefits Program UIPL	EB Program - Temp Changes - UW SF Act.pdf	02/24/2009
New Temporary Federal Assistance Compensation Program	New Temp FAC Program.pdf	02/26/2009

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