Information Collection Request

Unemployment Insurance Data Validation (DV) Program

ICR 201907-1205-010 · OMB 1205-0431 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
ET Handbook 361 UI DV Benefits 7.29.19 track changes.docx Supplementary Document Uploaded 2019-08-29 Available
Tax Handbook 361 7.29.19.doc Supplementary Document Uploaded 2019-08-05 Available
1205-0431 Supporting Statement Part A_FINAL 8.19.19.docx Supporting Statement A Uploaded 2019-08-26 Available
1205-0431 Supporting Statement Part B_FINAL 6.28.19.docx Supporting Statement B Uploaded 2019-08-19 Available
Signed PRA Part B Review 2019 UIDV.pdf Supplementary Document Uploaded 2019-08-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13289 Unemployment Insurance Data Validation Program Other-record layout Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2022 36 Months From Approved 09/30/2019
53 0 53
23,644 0 23,644
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Unemployment Insurance Data Validation Program

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 53 53 0 0 0 0
Annual Time Burden (Hours) 23,644 23,644 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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