Information Collection

Unemployment Compensation for Federal Employees (States)

IC 13026 under ICR 202411-1205-005 · OMB 1205-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 931 ETA 931 Unemployment Compensation for Federal Employees (States)	Form
Form 931A ETA 931A Unemployment Compensation for Federal Employees (States)	Form
Form 933 ETA 933 Unemployment Compensation for Federal Employees (States)	Form
Form 935 ETA 935 Unemployment Compensation for Federal Employees (States)	Form
Form 934 ETA 934 Unemployment Compensation for Federal Employees (States)	Form
ETHand391.pdf	Other-Handbook
ETHand391.pdf	Other-Handbook
931 ETA 931 ETA 931-508.pdf	Form
931 ETA 931 ETA 931-508.pdf	Form
931A ETA 931A ETA931A-508.pdf	Form
931A ETA 931A ETA931A-508.pdf	Form
933 ETA 933 ETA933-508.pdf	Form
933 ETA 933 ETA933-508.pdf	Form
935 ETA 935 ETA935-508.pdf	Form
935 ETA 935 ETA935-508.pdf	Form
934 ETA 934 ETA934-508.pdf	Form
934 ETA 934 ETA934-508.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 609 20 CFR 603

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Handbook		Yes	Yes	Fillable Fileable
Form	931	Yes	Yes	Fillable Fileable
Form	931A	Yes	Yes	Fillable Fileable
Form	933	Yes	Yes	Fillable Fileable
Form	935	Yes	Yes	Fillable Fileable
Form	934	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	71,603	-105,311	176,914
Annual IC Time Burden (Hours)	5,374	-7,844	13,218
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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