Reporting

Pre-Implementation Planning Checklist Report for State Unemployment Insurance Information Technology Modernization Projects

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0527 can be found here:

Documents and Forms

Document Name Document Type
ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 1 (MASTER).docx Instruction
ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER).docx Instruction
UIPL_UI IT Modernization check list (2).doc UIPL IC Document

Information Collection (IC) Details

IC Title:	Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 1 (MASTER).docx		Yes	Yes	Fillable Fileable
Instruction			ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3	0	3
Annual IC Time Burden (Hours)	480	120	360
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
UIPL	UIPL_UI IT Modernization check list (2).doc	08/25/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.