States with STC Programs Applying for Grants

Short-Time Compensation Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0499 can be found here:

Documents and Forms

Document Name Document Type
1205-0499 UIPL_STC Grant QPR_01-12-16.doc Other-UIPL

Information Collection (IC) Details

IC Title:	States with STC Programs Applying for Grants	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-UIPL			1205-0499 UIPL_STC Grant QPR_01-12-16.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	68	-32	100
Annual IC Time Burden (Hours)	68	-6,557	6,625
Annual IC Cost Burden (Dollars)	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.