OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Report of Responses to the UI Benefits Operations Self-Assessment Tool

IC 224974 under ICR 201612-1205-005 · OMB 1205-0529.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
adjudications_btq_review_v2.pdf Other-Review
adjudications_btq_instructions_v2.pdf Instruction
bpc_review_v2.pdf Other-Review
bpc_instructions_v2.pdf Instruction
cc_and_er_review_v2.pdf Other-Review
cc_and_er_instructions_v2.pdf Instruction
data_validation_review_v2.pdf Other-Review
data_validation_instructions_v2.pdf Instruction
dua_review_v2.pdf Other-Review
dua_instructions_v2.pdf Instruction
intake_claims_ucx_review_v2.pdf Other-Review
intake_claims_ucx_instructions_v2.pdf Instruction
intake_claims_ucfe_review_v2.pdf Other-Review
intake_claims_ucfe_instructions_v2.pdf Instruction
intake_initial_claims_cwc_review_v2.pdf Other-Review
intake_initial_claims_cwc_instructions_v2.pdf Instruction
intake_initial_claims_review_v2.pdf Other-Review
intake_initial_claims_instructions_v2.pdf Instruction
internal_security_review_v2.pdf Other-Review
internal_security_instructions_v2.pdf Instruction
laa_and_haa_appeals_review_v2.pdf Other-Review
laa_and _haa_appeals_instructions_v2.pdf Instruction
overarching_operational_matters_review_v2.pdf Other-Review
overarching_operational_matters_instructions_v2.pdf Instruction
stc_review_v2.pdf Other-Review
stc_instructions_v2.pdf Instruction
tra_and_taa_review_v2.pdf Other-Review
tra_and_taa_instructions_v2.pdf Instruction
wprs_and_resea_review_v2.pdf Other-Review
wprs_and_resea_instructions_v2.pdf Instruction
global_instructions_v2.pdf Instruction
resource_tracking_template_v2.docx Other-Resource Tracker

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Review adjudications_btq_review_v2.pdf Yes Yes Fillable Fileable
Instruction adjudications_btq_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review bpc_review_v2.pdf Yes Yes Fillable Fileable
Instruction bpc_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review cc_and_er_review_v2.pdf Yes Yes Fillable Fileable
Instruction cc_and_er_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review data_validation_review_v2.pdf Yes Yes Fillable Fileable
Instruction data_validation_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review dua_review_v2.pdf Yes Yes Fillable Fileable
Instruction dua_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review intake_claims_ucx_review_v2.pdf Yes Yes Fillable Fileable
Instruction intake_claims_ucx_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review intake_claims_ucfe_review_v2.pdf Yes Yes Fillable Fileable
Instruction intake_claims_ucfe_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review intake_initial_claims_cwc_review_v2.pdf Yes Yes Fillable Fileable
Instruction intake_initial_claims_cwc_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review intake_initial_claims_review_v2.pdf Yes Yes Fillable Fileable
Instruction intake_initial_claims_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review internal_security_review_v2.pdf Yes Yes Fillable Fileable
Instruction internal_security_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review laa_and_haa_appeals_review_v2.pdf Yes Yes Fillable Fileable
Instruction laa_and _haa_appeals_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review overarching_operational_matters_review_v2.pdf Yes Yes Fillable Fileable
Instruction overarching_operational_matters_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review stc_review_v2.pdf Yes Yes Fillable Fileable
Instruction stc_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review tra_and_taa_review_v2.pdf Yes Yes Fillable Fileable
Instruction tra_and_taa_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Review wprs_and_resea_review_v2.pdf Yes Yes Fillable Fileable
Instruction wprs_and_resea_instructions_v2.pdf Yes Yes Fillable Fileable
Instruction global_instructions_v2.pdf Yes Yes Fillable Fileable
Other-Resource Tracker resource_tracking_template_v2.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 53 0 53 0 0 0
Annual IC Time Burden (Hours) 110,240 0 110,240 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.