Information Collection Request

Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed

ICR 202509-1205-006 · OMB 1205-0028 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA-539 Claims and Extended Benefits Data Form and Instruction Modified Available
Form ETA-538 Advance Weekly Initial and Continued Claims Report Form and Instruction Modified Available
NELP OMB Control Number 1205-0028 (5.6.25) (1).pdf Public Comments Uploaded 2025-05-06 Available
OMB1205-0028_Supporting Statement_ June 9 2025 (2).docx Supporting Statement A Uploaded 2025-09-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction ModifiedClaims and Extended Benefits Data
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction ModifiedAdvance Weekly Initial and Continued Claims Report

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2026
5,512 5,512
3,675 3,675
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed ETA-538, ETA-539 ,  

table that charts list of burden
  Total Request 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 5,512 5,512 0 0 0 0
Annual Time Burden (Hours) 3,675 3,675 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No