Information Collection

Resource Justification Model (RJM)

IC 13287 under ICR 201902-1205-003 · OMB 1205-0430.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0430 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 410 Resource Justification Model (RJM)	Form and Instruction
Appendix A_Main Worksheet.xlsm	Other-Base NPS
Appendix A_Crosswalk Worksheet.xlsm	Other-PS/PB Cross Walk
410 RJM Handbook ETA HANDBOOK 410, 5th Edition_April 2017.doc	Form and Instruction

IC Title:

Resource Justification Model (RJM)

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	410	RJM Handbook	ETA HANDBOOK 410, 5th Edition_April 2017.doc	Yes	Yes	Fillable Fileable
Other-Base NPS			Appendix A_Main Worksheet.xlsm	Yes	Yes	Fillable Fileable
Other-PS/PB Cross Walk			Appendix A_Crosswalk Worksheet.xlsm	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	159	-53	212
Annual IC Time Burden (Hours)	5,380	-424	5,804
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.