Information Collection

Unemployment Insurance Trust Fund Activity

IC 12998 under ICR 202112-1205-008 · OMB 1205-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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	3,498	3,498
Annual IC Time Burden (Hours)	1,749	1,749
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.