Resource Justification Model (RJM)

Resource Justification Model

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.