Participant Disclosures to States

Self-Employment Assistance (SEA) Program

OMB: 1205-0490

IC ID: 201511

Information Collection (IC) Details

View Information Collection (IC)

Participant Disclosures to States
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA-9161 Self-Employment Assistance SectionIV_SpecialPrograms_ETA 9161.docx Yes Yes Fillable Fileable

Income Security Unemployment Compensation

 

3,400 0
   
Individuals or Households
 
   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 13,600 0 0 1,200 0 12,400
Annual IC Time Burden (Hours) 6,800 0 0 600 0 6,200
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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