Information Collection

Interstate Arrangement for Combining Employment and Wages

IC 12947 under ICR 202509-1205-004 · OMB 1205-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 586 Interstate Arrangement for Combining Employment and Wages Interstate Arrangement for Combining Employment and Wages	Form and Instruction
ETA 586 Interstate Arrangement for Combining Employment and Wage SectionIV_SpecialPrograms_ETA_586_Report[1].docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320.5 20 CFR 616 20 CFR 640

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 and Instruction	ETA 586				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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	212	212
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	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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