Information Collection

Unemployment Insurance State Quality Service Plan Planning and Reporting Guidelines (SQSP)

IC 12980 under ICR 201711-1205-001 · OMB 1205-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 8623A Unemployment Insurance State Quality Service Plan Planning and Reporting Guidelines (SQSP)	Form and Instruction
ETA 8623A ET Handbook No. 336 18th edition ET Handbook No. 336 18th Edition_CAP Form.doc	Form and Instruction
Additional Planning Guidance for the FY 2018 UI SQSP.pdf UIPL 21-17	IC Document

IC Title:

Unemployment Insurance State Quality Service Plan Planning and Reporting Guidelines (SQSP)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 97.40

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 8623A	ET Handbook No. 336 18th edition	ET Handbook No. 336 18th Edition_CAP Form.doc		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	773	26	747
Annual IC Time Burden (Hours)	3,304	78	3,226
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
UIPL 21-17	Additional Planning Guidance for the FY 2018 UI SQSP.pdf	11/28/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.