Placement Service

Placement Service

OMB: 3220-0057

IC ID: 33872

Information Collection (IC) Details

View Information Collection (IC)

Placement Service
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 325

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ES-21 (11-07) Referral to State Employment Service Form ES-21 (11-07).pdf No   Paper Only
Form UI-35 (03-07) Field Office Record of Claimant Interview Form UI-35 (03-07).pdf No   Paper Only
Form Proposed UI-35 (xx-xx) Field Office Record of Claimant Interview Form UI-35 (xx-xx) PROPOSED.pdf No   Paper Only

Income Security Unemployment Compensation

RRB-21, Railroad Unemployment and Sickness Insurance benfit System  79 FR 58874

7,080 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,080 0 -3,750 0 0 10,830
Annual IC Time Burden (Hours) 864 0 -10 0 0 874
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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