Information Collection

Unemployment Insurance Modernization Incentive Payments

IC 188126 under ICR 200911-1205-011 · OMB 1205-0470.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
UIPL14-09.pdf wdr.doleta.gov/directives/attach/UIPL/UIPL14-09.pdf	Instruction
UIPL-UI modernization change 2 draft.doc Draft UIPL Change 2	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Instruction			UIPL14-09.pdf	http://wdr.doleta.gov/directives/attach/UIPL/UIPL14-09.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	288	288
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Draft UIPL Change 2	UIPL-UI modernization change 2 draft.doc	09/24/2009

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