Information Collection

Unemployment Insurance Trust Fund Activity

IC 12998 under ICR 201508-1205-002 · OMB 1205-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 8413 Unemployment Insurance Trust Fund Activity	Form and Instruction
ETA 8413 Banking Activity SectionIII_BankingActivity_ETA 8413.doc	Form and Instruction
ETA 8401 Section III Banking Activity SectionIII_BankingActivity_ETA 8401.doc	Form and Instruction
ETA 2112 Section II Fund Management Activity SectionII_FundManagementActivity_ETA 2112.doc	Form and Instruction
ETA 8403 Section III Banking Activity ETA 8403A.rtf	Form and Instruction
ETA 8405 Section III Banking Activity SectionIII_BankingActivity_ETA 8405.doc	Form and Instruction
ETA 8414 Section III Banking Activity SectionIII_BankingActivity_ETA 8414.doc	Form and Instruction
EB Program - Temp Changes - UW SF Act.pdf Extended Benefits Program UIPL	IC Document

IC Title:

Unemployment Insurance Trust Fund Activity

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 601.5(a)(1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 8413	Banking Activity	SectionIII_BankingActivity_ETA 8413.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8401	Section III Banking Activity	SectionIII_BankingActivity_ETA 8401.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 2112	Section II Fund Management Activity	SectionII_FundManagementActivity_ETA 2112.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8403	Section III Banking Activity	ETA 8403A.rtf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8405	Section III Banking Activity	SectionIII_BankingActivity_ETA 8405.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8414	Section III Banking Activity	SectionIII_BankingActivity_ETA 8414.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	3,498	3,498
Annual IC Time Burden (Hours)	1,749	1,749
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Extended Benefits Program UIPL	EB Program - Temp Changes - UW SF Act.pdf	09/23/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.