Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 384

Unemployment Compensation for Ex-Servicemembers Handbook

Documents and Forms

Document Name Document Type
Form ETA 843 Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 384 Form
ETA 843 Request for Military Document/Information For Unemployme ETA 843 Form.docx Form
ETA 843 Request for Military Document/Information For Unemployme ETA 843 Form.docx Form

Information Collection (IC) Details

IC Title:	Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 384	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
Form	ETA 843	Request for Military Document/Information For Unemployment Compensation Purposes—UCX	ETA 843 Form.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: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,908	-803	2,711
Annual IC Time Burden (Hours)	159	-67	226
Annual IC Cost Burden (Dollars)	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.