Reemployment and Eligibility Assessment Program

Reemployment Services and Eligibility Assessment Program

OMB: 1205-0456

IC ID: 13320

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Reemployment and Eligibility Assessment Program
 
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 9128 RESEA Workload SectionIV_SpecialPrograms_ETA 9128 sof 6172022_clean copy.docx Yes Yes Fillable Fileable
Form and Instruction ETA 9129 RESEA Assessment Outcomes SectionIV_SpecialPrograms_ETA 9129.docx Yes Yes Fillable Fileable

Income Security Unemployment Compensation

 

53 0
   
State, Local, and Tribal Governments
 
   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 424 0 0 0 0 424
Annual IC Time Burden (Hours) 1,234 0 174 0 0 1,060
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
9128 Tracked Changes SectionIV_SpecialPrograms_ETA 9128 sof 6172022_tracked.docx 06/30/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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