Information Collection

Unemployment Compensation for Federal Employees (Individuals)

IC 218054 under ICR 202411-1205-005 · OMB 1205-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 935 Unemployment Compensation for Federal Employees (Individuals)	Form
Form 935 ETA 935 Unemployment Compensation for Federal Employees (Individuals)	Form
935 ETA 935 ETA935-508 (2).pdf	Form
935 ETA 935 ETA935-508 (2).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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	935				Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 514

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	514	-843	1,357
Annual IC Time Burden (Hours)	36	-59	95
Annual IC Cost Burden (Dollars)	1,989	-60,558	62,547

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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