Information Collection

Interstate Arrangement for Combining Employment and Wages

IC 12947 under ICR 201707-1205-001 · OMB 1205-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 586 Interstate Arrangement for Combining Employment and Wages	Form and Instruction
ETA 586 Interstate Arrangement for Combining Employment and Wage SectionIV SpecialPrograms_ETA 586_2017doc.docx	Form and Instruction

IC Title:

Interstate Arrangement for Combining Employment and Wages

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 640 20 CFR 616

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
Form and Instruction	ETA 586	Interstate Arrangement for Combining Employment and Wages	SectionIV SpecialPrograms_ETA 586_2017doc.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	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	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.