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Unemployment Insurance Trust Fund Activity
Unemployment Insurance (UI) Trust Fund Activity
OMB: 1205-0154
IC ID: 12998
OMB.report
DOL/ETA
OMB 1205-0154
ICR 202112-1205-008
IC 12998
( )
Documents and Forms
Document Name
Document Type
Form ETA 2112
Unemployment Insurance Trust Fund Activity
Form
ETA 2112 UI Financial Transaction Summary
SectionII_FundManagementActivity_ETA 2112.docx
Form
ETA 2112 UI Financial Transaction Summary
SectionII_FundManagementActivity_ETA 2112.docx
Form
ETA 8401 Monthly Analysis of Benefit Payment Account
SectionIII_BankingActivity_ETA 8401.docx
Form
ETA 8401 Monthly Analysis of Benefit Payment Account
SectionIII_BankingActivity_ETA 8401.docx
Form
ETA 8403 Summary of Financial Transactions
SectionIII_BankingActivity_ETA 8403.docx
Form
ETA 8403 Summary of Financial Transactions
SectionIII_BankingActivity_ETA 8403.docx
Form
ETA 8405 Monthly Analysis of Clearing Account
SectionIII_BankingActivity_ETA 8405.docx
Form
ETA 8405 Monthly Analysis of Clearing Account
SectionIII_BankingActivity_ETA 8405.docx
Form
ETA 8413 Income Expense Analysis, Unemployment Compensation Fund
SectionIII_BankingActivity_ETA 8413.docx
Form
ETA 8413 Income Expense Analysis, Unemployment Compensation Fund
SectionIII_BankingActivity_ETA 8413.docx
Form
ETA 8414 Income Expense Analysis, Unemployment Compensation Fund
SectionIII_BankingActivity_ETA 8414.docx
Form
ETA 8414 Income Expense Analysis, Unemployment Compensation Fund
SectionIII_BankingActivity_ETA 8414.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Unemployment Insurance Trust Fund Activity
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 601.5(a)(1)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 2112
UI Financial Transaction Summary
SectionII_FundManagementActivity_ETA 2112.docx
Yes
Yes
Fillable Fileable
Form
ETA 8401
Monthly Analysis of Benefit Payment Account
SectionIII_BankingActivity_ETA 8401.docx
Yes
Yes
Fillable Fileable
Form
ETA 8403
Summary of Financial Transactions
SectionIII_BankingActivity_ETA 8403.docx
Yes
Yes
Fillable Fileable
Form
ETA 8405
Monthly Analysis of Clearing Account
SectionIII_BankingActivity_ETA 8405.docx
Yes
Yes
Fillable Fileable
Form
ETA 8413
Income Expense Analysis, Unemployment Compensation Fund Benefit Account
SectionIII_BankingActivity_ETA 8413.docx
Yes
Yes
Fillable Fileable
Form
ETA 8414
Income Expense Analysis, Unemployment Compensation Fund Clearing Account
SectionIII_BankingActivity_ETA 8414.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
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
3,498
0
0
0
0
3,498
Annual IC Time Burden (Hours)
1,749
0
0
0
0
1,749
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.