Information Collection

Unemployment Compensation for Federal Employees (States)

IC 13026 under ICR 201508-1205-006 · OMB 1205-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 931 Unemployment Compensation for Federal Employees (States)	Form
ETHand391.pdf	Other-Handbook
931 ETA 931 ETA 931.pdf	Form
931A ETA 931A ETA931A.pdf	Form
933 ETA 933 ETA 933.pdf	Form
934 ETA 934 ETA934.pdf	Form
935 ETA 935 ETA935.pdf	Form

IC Title:

Unemployment Compensation for Federal Employees (States)

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 609

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	931	ETA 931	ETA 931.pdf	Yes	Yes	Fillable Fileable
Other-Handbook			ETHand391.pdf	Yes	Yes	Fillable Fileable
Form	931A	ETA 931A	ETA931A.pdf	Yes	Yes	Fillable Fileable
Form	933	ETA 933	ETA 933.pdf	Yes	Yes	Fillable Fileable
Form	934	ETA 934	ETA934.pdf	Yes	Yes	Fillable Fileable
Form	935	ETA 935	ETA935.pdf	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: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	248,834	-24,496	273,330
Annual IC Time Burden (Hours)	19,337	-7,853	27,190
Annual IC Cost Burden (Dollars)	0	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.