Information Collection

Unemployment Insurance Tax and Benefits Supplemental Funding Opportunity

IC 227879 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⚠️ Notice: This information collection may be referencing outdated material.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
UI Tax and Benefits Supplemental Funding Opportunity_edited.doc www.doleta.gov	Other-UI Tax and Benefits Supplement
1225-0086 UIPL Supplemental Support Statement (20170810).docx 1225-0086 UIPL Supplemental Support Statement (20170810)	IC Document

IC Title:

Unemployment Insurance Tax and Benefits Supplemental Funding Opportunity

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-UI Tax and Benefits Supplemental Funding Opportunity			UI Tax and Benefits Supplemental Funding Opportunity_edited.doc	www.doleta.gov	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

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	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
1225-0086 UIPL Supplemental Support Statement (20170810)	1225-0086 UIPL Supplemental Support Statement (20170810).docx	08/10/2017

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