State Reporting, Self Employment Assistance

Self Employment Assistance of the Federal Emergency Unemployment Compensation Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0490 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9161 State Reporting, Self Employment Assistance Form and Instruction
ETA 9161 Self Emplyoment Assistance for EUC 2008 Claimants reporting_instructions_ETA9161__SEA_final.doc Form and Instruction

Information Collection (IC) Details

IC Title:	State Reporting, Self Employment Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9161	Self Emplyoment Assistance for EUC 2008 Claimants	reporting_instructions_ETA9161__SEA_final.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	78	78
Annual IC Time Burden (Hours)	624	624
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.