Gen IC: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants

DOL Generic Solution for Funding Opportunity Announcements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Document Name Document Type
Gen IC: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants Form and Instruction
1225-0086 FY 2017 RESEA UIPL Attachment C (11-15-2016).doc Other-Attachment C: Maximum Fiscal Y
FY 2017 RESEA UIPL 11 15 16.doc Instruction
Attachment A: Elements of an Unemployement Insurance Ree 1225-0086 FY 2017 RESEA UIPL Attachment A (11-15-2016).doc Form and Instruction
Attachment B: Unemployment Insurance Reemployment Servic 1225-0086 FY2017 RESEA UIPL Attachment B (11-15-2016).doc Form and Instruction
RESEA 2017 Supplemental Statement.docx Supporting Statement: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants IC Document

Information Collection (IC) Details

IC Title:	Gen IC: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Attachment A: Elements of an Unemployement Insurance Reemployment Services and Eligibility Assessment Grant Proposal Abstract	1225-0086 FY 2017 RESEA UIPL Attachment A (11-15-2016).doc	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Attachment B: Unemployment Insurance Reemployment Services and Eligibility Assessment Cost Summary	1225-0086 FY2017 RESEA UIPL Attachment B (11-15-2016).doc	Yes	Yes	Fillable Fileable
Other-Attachment C: Maximum Fiscal Year 2017 RESEA Grant Awards by State			1225-0086 FY 2017 RESEA UIPL Attachment C (11-15-2016).doc	Yes	Yes	Fillable Fileable
Instruction			FY 2017 RESEA UIPL 11 15 16.doc	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	1,080	1,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants	RESEA 2017 Supplemental Statement.docx	11/25/2016

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