Information Collection

Claimant Burden in Responding to Audit

IC 203997 under ICR 201208-1205-003 · OMB 1205-0495.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9162 Claimant Burden in Responding to Audit	Form and Instruction
ETA 9162 Random Audit of EUC 2008 Claimants Reporting instructions for 1205-0495 ETA9162 Random Audit.doc	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9162	Random Audit of EUC 2008 Claimants	Reporting instructions for 1205-0495 ETA9162 Random Audit.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 475,650

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	475,650	475,650
Annual IC Time Burden (Hours)	445,922	445,922
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.