Information Collection

Benefits Timeliness and Quality (BTQ) Review System

IC 13147 under ICR 201702-1205-003 · OMB 1205-0359.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0359 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9055 Benefits Timeliness and Quality (BTQ) Review System	Form and Instruction
ETA 9055 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9055.docx	Form and Instruction
ETA 9050 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9050.docx	Form and Instruction
ETA 9051 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9051.docx	Form and Instruction
ETA 9052 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9052.docx	Form and Instruction
ETA 9054 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9054.docx	Form and Instruction
ETA 9056 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9056.docx	Form and Instruction
ETA 9057 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9057.docx	Form and Instruction

IC Title:

Benefits Timeliness and Quality (BTQ) Review System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	ETA 9055	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9055.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9050	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9050.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9051	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9051.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9052	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9052.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9054	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9054.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9056	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9056.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9057	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9057.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,356	-840	29,196
Annual IC Time Burden (Hours)	37,812	-880	38,692
Annual IC Cost Burden (Dollars)	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.