Information Collection

State Implementation Burden for random audits

IC 203998 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 State Implementation Burden for random audits	Form and Instruction
ETA 9162 Random Audit for 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 for 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: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	53	53
Annual IC Time Burden (Hours)	8,480	8,480
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.