Information Collection Request

ICR 202004-0970-011 · OMB 0970-0166 · Public filing

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 New Hire Record Layout Chart E Form and Instruction Unchanged Available
Form 1 MSER Form Form and Instruction Modified Available
Form 1 New Hire Record Layout Form and Instruction Unchanged Available
Form 1 New Hire Record Layout Form and Instruction Unchanged Available
Form 1 Unemployment Insurance Record Layout Form and Instruction Unchanged Available
Form 1 Quarterly Wage Record & Unemployment Insurance Record Layout Form and Instruction Unchanged Available
Non_Sub Change Request_MSE Form_0970-0166_042120.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-21 Available
0970_0166_NDNH__Supporting_Statement.doc Supporting Statement A Uploaded 2019-05-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9955 New Hire: Employer Reporting Manually Form and Instruction UnchangedNew Hire Record Layout Chart E
179589 Multi-State Employer Notification Form for New Hire Reporting Form and Instruction ModifiedMSER Form
179588 New Hire: Employers Reporting Electronically Form and Instruction UnchangedNew Hire Record Layout
179587 New Hire: States Form and Instruction UnchangedNew Hire Record Layout
179586 QW and UI Form and Instruction UnchangedUnemployment Insurance Record Layout
179586 QW and UI Form and Instruction UnchangedQuarterly Wage Record & Unemployment Insurance Record Layout

ICR Details

Record metadata
0970-0166