Unemployment Insurance Tax and Benefits Supplemental Funding Opportunity

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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

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:

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 %

	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
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.