Information Collection Request

Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed

ICR 202208-1205-006 · OMB 1205-0028 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA-539 Claims and Extended Benefits Data Form and Instruction Modified Available
Form ETA-538 Advance Weekly Initial and Continued Claims Report Form and Instruction Modified Available
Form ETA-538 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction Modified Repair queued
1205-0028 Supporting Statement FINAL.docx Supporting Statement A Uploaded 2022-08-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction ModifiedClaims and Extended Benefits Data
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction ModifiedAdvance Weekly Initial and Continued Claims Report
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2025 36 Months From Approved 11/30/2022
5,512 0 5,512
3,675 0 3,675
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed ETA-538, ETA-539 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,512 5,512 0 0 0 0
Annual Time Burden (Hours) 3,675 3,675 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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