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Unemployment Insurance Title XII Advances and Voluntary Repayment Process
Unemployment Insurance (UI) Title XII Advances and Voluntary Repayment Process
OMB: 1205-0199
IC ID: 43789
OMB.report
DOL/ETA
OMB 1205-0199
ICR 202112-1205-010
IC 43789
( )
Documents and Forms
Document Name
Document Type
UIPL_July_2009.pdf
Instruction
UIPL_July_2009.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Unemployment Insurance Title XII Advances and Voluntary Repayment Process
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
UIPL_July_2009.pdf
Yes
Yes
Fillable Fileable Signable
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:
19
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
57
0
0
54
0
3
Annual IC Time Burden (Hours)
57
0
0
54
0
3
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.