MA 8-7 Form,

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Transmittal for Unemployment
Insurance Materials

US. Department of Labor
Employment and Training Administration
OMB Approval No. 1205-0222
Expires: 06/30/2010

To: U.S. Department of Labor
Employment and Training Administration
Office of Workforce Security
Room S-4231
200 Constitution Ave., N.W.
Washington, D.C. 20210

From: (State)

Check Appropriate Box(es)

[ ] Statutory Material - Proposed and Enacted Legislation
[ ] Rules and Regulations - Proposed and Final
[ ] Official Interpretations
[ ] Decisions and Orders Issued by States Courts, including material related to Consent Orders
[ ] Precedential Administrative Decisions
[ ] Appellate Decisions in Federal UC Programs

Comments:

Signature of Designated Official

I Typed Name and Title

I Date

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Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number.
Respondent’s obligation to reply to these reporting requirements are mandatory (20 CFR 6012 and 601.3). Public reporting
burden for this collection of information is estimated to average one minute per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security,
Room S4231, 200 Constitution Avenue, N.W. Washington, D.C. 20210 (Paperwork Reduction Project 1205-0222).

Form: MA 8-7