Information Collection Request

Unemployment Insurance Data Validation (DV) Program

ICR 202507-1205-003 · OMB 1205-0431 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
PRA Signature Form_Unemployment Insurance Data Validation (DV) Program PRA extension_5-05-2025signedbsb.pdf Supplementary Document Uploaded 2025-07-24 Available
PRA Signature Form_Unemployment Insurance Data Validation (DV) Program PRA extension_5-05-2025signedbsb.pdf Supplementary Document Uploaded 2025-07-24 Available
1205-0431 Supporting Statement 0722025.docx Supporting Statement A Uploaded 2025-07-24 Available
1205-0431 Supporting Statement 0722025.docx Supporting Statement A Uploaded 2025-07-24 Available
1205-0431 Supporting Statement Part B_4302025.docx Supporting Statement B Uploaded 2025-07-24 Available
1205-0431 Supporting Statement Part B_4302025.docx Supporting Statement B Uploaded 2025-07-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13289 Unemployment Insurance Data Validation Program Other-ET Handbook 361 UI DV Benefits Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2029 36 Months From Approved 06/30/2026
53 0 53
23,638 0 23,638
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Unemployment Insurance Data Validation Program

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 53 53 0 0 0 0
Annual Time Burden (Hours) 23,638 23,638 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No