Information Collection

Technical Support and Oversight Questionnaire

IC 202412 under ICR 201210-1205-006 · OMB 1205-0500.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Middle Class Tax relief and Job Creation Act of 2012 state desk review guide FINAL-5-21-Reorg.doc	Other-questionnaire
Middle Class Tax relief and Job Creation Act of 2012 state desk review guide 10 2012.doc	Other-state desk review

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-questionnaire			Middle Class Tax relief and Job Creation Act of 2012 state desk review guide FINAL-5-21-Reorg.doc		Yes	Yes	Fillable Printable
Other-state desk review			Middle Class Tax relief and Job Creation Act of 2012 state desk review guide 10 2012.doc		Yes	Yes	Fillable Printable

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	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	1,590	1,590
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.