Unemployment Insurance Data Validation Program

Unemployment Insurance Data Validation (DV) Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0431 can be found here:

Documents and Forms

Document Name Document Type
Record Layout.pdf Other-record layout
SubpopSpecs.pdf Other-specifications for subpopulati
ET Handbook 361 UI DV Benefits 7.29.19.docx Other-Handbook
Ops Guide 411.pdf Other-operations guide
Tax Record Layout.pdf Other-tax record layout
Tax Subpop Specs.pdf Other-specifications for tax subpopu

Information Collection (IC) Details

IC Title:	Unemployment Insurance Data Validation Program	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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-record layout	Record Layout.pdf	Yes	Yes	Fillable Fileable
Other-specifications for subpopulation	SubpopSpecs.pdf	Yes	Yes	Fillable Fileable
Other-Handbook	ET Handbook 361 UI DV Benefits 7.29.19.docx	Yes	Yes	Fillable Fileable
Other-operations guide	Ops Guide 411.pdf	Yes	Yes	Fillable Fileable
Other-tax record layout	Tax Record Layout.pdf	Yes	Yes	Fillable Fileable
Other-specifications for tax subpopulation	Tax Subpop Specs.pdf	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	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	23,644	23,644
Annual IC Cost Burden (Dollars)	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.