ICON Application, EBCDIC Format

Federal-State Unemployment Insurance Program Data Exchange Standardization

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0510 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	ICON Application, EBCDIC Format	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 625 appendix B 20 CFR 619.4 20 CFR 619.2 20 CFR 619.3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	-28	53
Annual IC Time Burden (Hours)	3,000	-3,360	6,360
Annual IC Cost Burden (Dollars)	498,740	-558,589	1,057,329

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.