Information Collection

Gen IC: Unemployment Insurance Reemployment Services and Eligibility Assessment Grants

IC 224417 under ICR 201601-1225-005 · OMB 1225-0086.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.