Information Collection

Unemployment Insurance Data Validation Program

IC 13289 under ICR 201907-1205-010 · OMB 1205-0431.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.