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ICON Application, EBCDIC Format
Federal-State Unemployment Insurance Program Data Exchange Standardization
OMB: 1205-0510
IC ID: 205854
OMB.report
DOL/ETA
OMB 1205-0510
ICR 201308-1205-006
IC 205854
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0510 can be found here:
2023-03-28 - Extension without change of a currently approved collection
2020-04-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ICON Application, EBCDIC Format
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 619.2
20 CFR 619.4
20 CFR 625 appendix B
20 CFR 619.3
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
53
53
0
0
0
0
Annual IC Time Burden (Hours)
6,360
6,360
0
0
0
0
Annual IC Cost Burden (Dollars)
1,057,329
1,057,329
0
0
0
0
Documents for IC
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.