Information Collection

Report of State Employment Service Office

IC 181794 under ICR 202311-3220-002 · OMB 3220-0057.

Documents and Forms

Document Name Document Type
Form ES-21c (07-05) Report of State Employment Service Office Form
ES-21c (07-05) Report of State Employment Service Office Form ES-21c (07-05).pdf Form
ES-21c (07-05) Report of State Employment Service Office Form ES-21c (07-05).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of State Employment Service Office	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 325

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ES-21c (07-05)	Report of State Employment Service Office	Form ES-21c (07-05).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title: RRB-21, Railroad Unemployment and Sickness Insurance Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.