Information Collection

ETA 9048, 9049: Estimated burden on claimants per referral

IC 206101 under ICR 201212-1205-004 · OMB 1205-0353.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0353 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9048 ETA 9048, 9049: Estimated burden on claimants per referral	Form and Instruction
ETA 9048 Worker Profiling and Reemployment Services Activity Repo ETA_9048_2 23 2013.doc	Form and Instruction
ETA 9049 Worker Profiling and Reemployment Services Outcomes Repo ETA_9049_ 2013.doc	Form and Instruction

IC Title:

ETA 9048, 9049: Estimated burden on claimants per referral

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 9048	Worker Profiling and Reemployment Services Activity Report	ETA_9048_2 23 2013.doc		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9049	Worker Profiling and Reemployment Services Outcomes Report	ETA_9049_ 2013.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,342,754

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	1,342,754	1,342,754
Annual IC Time Burden (Hours)	2,685,508	2,685,508
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.