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Reporting
Pre-Implementation Planning Checklist Report for State Unemployment Insurance Information Technology Modernization Projects
OMB: 1205-0527
IC ID: 217994
OMB.report
DOL/ETA
OMB 1205-0527
ICR 202303-1205-001
IC 217994
( )
Documents and Forms
Document Name
Document Type
ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 1 (MASTER) (12).docx
Instruction
ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 1 (MASTER) (12).docx
Instruction
ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER) (5).docx
Instruction
ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER) (5).docx
Instruction
UIPL_UI IT Modernization check list (2).doc
UIPL
IC Document
UIPL_UI IT Modernization check list (2).doc
UIPL
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reporting
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
Instruction
ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 1 (MASTER) (12).docx
Yes
Yes
Fillable Fileable
Instruction
ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER) (5).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
3
0
0
0
0
3
Annual IC Time Burden (Hours)
480
0
0
0
0
480
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
UIPL
UIPL_UI IT Modernization check list (2).doc
08/25/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.