Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284

Unemployment Compensation for Ex-Servicemembers Handbook

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0176 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 843 Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284 Form and Instruction
ETA 843 Request for Military Documentation for UCX ETA 843 Form_FINAL.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 843	Request for Military Documentation for UCX	ETA 843 Form_FINAL.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: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,711	-2,423	5,134
Annual IC Time Burden (Hours)	226	-202	428
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.