Information Collection Request

Federal-State Unemployment Insurance Program Data Exchange Standardization

ICR 202212-1205-003 · OMB 1205-0510 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1205-0510 Supporting Statement 3.2.2023 - Clean.docx Supporting Statement A Uploaded 2023-03-02 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
205854 ICON Application, EBCDIC Format Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 05/31/2023
15 0 25
1,800 0 3,000
299,244 0 498,740





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
ICON Application, EBCDIC Format

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 15 25 0 0 -10 0
Annual Time Burden (Hours) 1,800 3,000 0 0 -1,200 0
Annual Cost Burden (Dollars) 299,244 498,740 0 0 -199,496 0


Reginfo record details
  No