Information Collection

Unemployment Insurance Data Validation Program

IC 13289 under ICR 201512-1205-004 · OMB 1205-0431.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0431 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
record_layout_227.pdf	Other-record layout
Subpopulation Specs 227 Changes 121812 (3).xlsx	Other-specifications for subpopulati
ET Handbook 361 UI DV Benefits.pdf	Other-handbook
ETA Operations Guide 411_FINAL 3.28.16.doc	Other-operations guide
A Summary of Data Validation Changes 12 18 2012.docx data validation changes summary	IC Document

IC Title:

Unemployment Insurance Data Validation Program

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-record layout	record_layout_227.pdf	Yes	Yes	Fillable Fileable
Other-specifications for subpopulation	Subpopulation Specs 227 Changes 121812 (3).xlsx	Yes	Yes	Fillable Fileable
Other-handbook	ET Handbook 361 UI DV Benefits.pdf	Yes	Yes	Fillable Fileable
Other-operations guide	ETA Operations Guide 411_FINAL 3.28.16.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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	53	0	53
Annual IC Time Burden (Hours)	23,644	-10,906	34,550
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
data validation changes summary	A Summary of Data Validation Changes 12 18 2012.docx	02/21/2013

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