Unemployment Insurance (UI) State Quality Service Plan (SQSP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0132 can be found here:

Documents and Forms

Document Name Document Type
Table of Contents.doc Other-Table of Contents
Chapter I.doc Instruction
Chapter II.doc Instruction
Appendix IV.doc Instruction
ETA-8623A State Plan Worksheet, UI-1 Appendix I.doc Form and Instruction
UI-III State Plan Worksheet Appendix II.doc Form and Instruction
Appendix III, 1205 Performance Measures Appendix III.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unemployment Insurance (UI) State Quality Service Plan (SQSP)	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Table of Contents			Table of Contents.doc	Yes	Yes	Fillable Fileable
Instruction			Chapter I.doc	Yes	Yes	Fillable Printable
Instruction			Chapter II.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-8623A	State Plan Worksheet, UI-1	Appendix I.doc	Yes	Yes	Fillable Fileable
Form and Instruction	UI-III	State Plan Worksheet	Appendix II.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Appendix III, 1205-0132	Performance Measures	Appendix III.pdf	Yes	Yes	Fillable Fileable
Instruction			Appendix IV.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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	583	583
Annual IC Time Burden (Hours)	1,810	1,810
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.