Information Collection

Unemployment Compensation for Federal Employees (States)

IC 13026 under ICR 202112-1205-009 · OMB 1205-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0179 can be found here:

Documents and Forms

IC Title:

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 609

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
Other-Handbook			ETHand391.pdf	Yes	Yes	Fillable Fileable
Form	931	ETA 931	ETA 931-508.pdf	Yes	Yes	Fillable Fileable
Form	931A	ETA 931A	ETA931A-508.pdf	Yes	Yes	Fillable Fileable
Form	933	ETA 933	ETA933-508.pdf	Yes	Yes	Fillable Fileable
Form	935	ETA 935	ETA935-508.pdf	Yes	Yes	Fillable Fileable
Form	934	ETA 934	ETA934-508.pdf	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: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	176,914	69,014	107,900
Annual IC Time Burden (Hours)	13,218	5,064	8,154
Annual IC Cost Burden (Dollars)	0	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.