Reemployment of Unemployment Insurance Benefit Recipients Reporting

Reemployment of Unemployment Insurance Benefit Recipients

Documents and Forms

Document Name Document Type
Form ETA 9047 Reemployment of Unemployment Insurance Benefit Recipients Reporting Form and Instruction
ETA 9047 Reemployment of UI Benefit Recipients SectionIV_SpecialPrograms_ETA 9047.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Reemployment of Unemployment Insurance Benefit Recipients Reporting	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9047	Reemployment of UI Benefit Recipients	SectionIV_SpecialPrograms_ETA 9047.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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	2,120	2,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.