Information Collection

Distribution of Characteristics of the insured Unemployed

IC 12923 under ICR 201506-1205-001 · OMB 1205-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 203 Distribution of Characteristics of the insured Unemployed	Form and Instruction
ETA 203 Characteristics of the Unemployed 1205-0009_ETA 203_6-5-2015.doc	Form and Instruction

IC Title:

Distribution of Characteristics of the insured Unemployed

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
Form and Instruction	ETA 203	Characteristics of the Unemployed	1205-0009_ETA 203_6-5-2015.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	Previously Approved
Annual Number of Responses for this IC	636	636
Annual IC Time Burden (Hours)	212	212
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.