Information Collection

Reporting

IC 217994 under ICR 202606-1205-004 · OMB 1205-0527.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHMENT I - UI IT Modernization Pre-Implementation Planning Checklist Report Version 2 clean.docx	Instruction
ATTACHMENT II - Reporting Instructions for Checklist Version 1 (MASTER).docx	Instruction
UIPL_UI IT Modernization check list (2).doc UIPL	IC Document

IC Title:

Reporting

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
Instruction					Yes	Yes	Fillable Fileable
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3

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	3	3
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
UIPL		08/25/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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