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States with STC Programs Applying for Grants
Short-Time Compensation Grants
OMB: 1205-0499
IC ID: 201919
OMB.report
DOL/ETA
OMB 1205-0499
ICR 202204-1205-002
IC 201919
( )
Documents and Forms
Document Name
Document Type
UIPL_27_12.pdf
Other-UIPL
UIPL_27_12.pdf
Other-UIPL
Attachment III.docx
Instruction
Attachment III.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
States with STC Programs Applying for Grants
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
Other-UIPL
UIPL_27_12.pdf
Yes
Yes
Fillable Fileable Signable
Instruction
Attachment III.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:
19
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
140
20
0
0
0
120
Annual IC Time Burden (Hours)
140
20
0
0
0
120
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.