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pdfTransmittal for Unemployment Insurance Materials
US. Department of Labor Employment and Training Administration
To: U.S. Department of Labor
From: (State)
Office of Unemployment Insurance
Room S4231
Attn:____________________________
200 Constitution Avenue, N.W.
Washington, D.C. 20210
Check Appropriate Box(es)
[ ] Statutory Material - Proposed and Enacted Legislation
[ ] Rules and Regulations - Proposed and Final
[ ] Agreements and Arrangements
[ ] Official Interpretations
[ ] Decisions and Orders Issued by State Courts, including material related to Consent Orders
[ ] Precedential Administrative Decisions
[ ] Appellate Decisions in Federal UC Programs
Comments:
Signature of Designated Official
OMB No.: 1205-0222
OMB Expiration Date: 09/30/22
Typed Name and Title
Date
Estimated Average Response Time: 15 minutes per response
These reporting instructions have been approved under the Paperwork Reduction Act of 1995. Persons are not required to respond to this collection of information
unless it displays a valid OMB control number. Public reporting burden for this collection of information includes the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Submission is required to obtain or
retain benefits under PL 74-271 Sec. 303(a)(6). Respondents have no expectation of confidentiality. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security, Room S4231, 200 Constitution Ave., NW, Washington, DC, 20210.
ETA-MA 8-7
Rev. 2016
Prev. versions usable
File Type | application/pdf |
Author | Wells, Agnes - ETA |
File Modified | 2022-02-18 |
File Created | 2019-02-27 |