Certification Regarding Rights to Unemployment Benefits

Certification Regarding Rights to Unemployment Benefits

OMB: 3220-0079

IC ID: 181719

Information Collection (IC) Details

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Certification Regarding Rights to Unemployment Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 320.5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form UI-45 (01-08) Certification Regarding Rights to Unemployment Benefits Form UI-45 (01-08).pdf No   Paper Only

Income Security Unemployment Compensation

RRB-6, Unemployment Insurance Benefits   75 FR 43716

950 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 950 0 0 0 0 950
Annual IC Time Burden (Hours) 79 0 0 0 0 79
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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