To: U.S. Department of Labor Office of Unemployment Insurance Room S4231 Attn:____________________________ 200 Constitution Avenue, N.W. Washington, D.C. 20210 |
From: (State) |
Transmittal for Unemployment
Insurance Materials
US.
Department of Labor Employment and Training Administration
Check Appropriate Box(es)
[ ] Statutory Material - Proposed and Enacted Legislation
[ ] Rules and Regulations - Proposed and Final
[ ] Official Interpretations
[ ] Decisions and Orders Issued by States Courts, including material related to Consent Orders
[ ] Precedential Administrative Decisions
[ ] Appellate Decisions in Federal UC Programs
Comments:
Signature
of Designated Official
Typed
Name and Title
Date
OMB
No.:
1205-0222 OMB
Expiration Date:
06/30/2010 Estimated
Average Response Time:
1 minute per response
Public
Burden Statement
These reporting instructions have been approved under the Paperwork reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a valid OMB control number. Public reporting burden for this collection of information includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Submission is required to obtain or retain benefits under SSA 303(a)(6). This is public information and there is no expectation of confidentiality. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security, Room S-4231, 200 Constitution Ave., NW, Washington, DC, 20210.
ETA-MA 8-7
Rev. 2004
Prev. versions usable
File Type | application/msword |
File Title | To: U |
Author | gibbons.scott |
Last Modified By | naradzay.bonnie |
File Modified | 2010-04-22 |
File Created | 2010-04-16 |