Information Collection

UI Non-Filer Supplement to CPS

IC 229293 under ICR 201712-1220-001 · OMB 1220-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-UINonfilerQuestionnaire.docx	Other-CATI/CAPI
Attachment C-CPS Factsheet (April 2016).pdf CPS Factsheet	IC Document
Attachment D-CPS-Advance letter(MIS1).pdf CPS Advance Letter MIS 1	IC Document
Attachment E-CPS-Advance letter(MIS5).pdf CPS Advance Letter MIS 5	IC Document
Attachment F-Confidentiality Brochure-(07-2012).pdf Confidentiality Brochure	IC Document

IC Title:

UI Non-Filer Supplement to CPS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-CATI/CAPI			Attachment A-UINonfilerQuestionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CPS Factsheet	Attachment C-CPS Factsheet (April 2016).pdf	12/01/2017
CPS Advance Letter MIS 1	Attachment D-CPS-Advance letter(MIS1).pdf	12/01/2017
CPS Advance Letter MIS 5	Attachment E-CPS-Advance letter(MIS5).pdf	12/01/2017
Confidentiality Brochure	Attachment F-Confidentiality Brochure-(07-2012).pdf	12/01/2017

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