Claims and Payment Activities

Unemployment Insurance Claims and Payment Activities

OMB: 1205-0010

IC ID: 12927

Information Collection (IC) Details

View Information Collection (IC)

Claims and Payment Activities
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 5 159 Claims and Payment Activities, Handbook 401 STC 5159 data map.docx Yes Yes Fillable Fileable
Form and Instruction ETA 5159 Claims and Payment Activities Data map and reporting instructions for ETA 5159 1205-0010.doc Yes Yes Fillable Fileable

Income Security Unemployment Compensation

 

53 0
   
State, Local, and Tribal Governments
 
   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 2,544 0 -636 0 0 3,180
Annual IC Time Burden (Hours) 6,996 0 -2,544 0 0 9,540
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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