Information Collection

Nonmonetary Determination Activity Report

IC 12993 under ICR 202001-1205-006 · OMB 1205-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 207 Nonmonetary Determination Activity Report	Form and Instruction
ETA 207 NONMONETARY DETERMINATION ACTIVITIES ETA 207_401HB_030620.docx	Form and Instruction

IC Title:

Nonmonetary Determination Activity Report

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 207	NONMONETARY DETERMINATION ACTIVITIES	ETA 207_401HB_030620.docx		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	424	424
Annual IC Time Burden (Hours)	1,696	1,696
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.