OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Expenditures and Financial Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Service Members

OMB 1205-0162 · DOL/ETA.

OMB 1205-0162

Federal civilian and military agencies must reimburse the Federal Employees Compensation Account for the amount expended for benefits to former Federal (civilian) employees and ex-servicemembers. The report informs ETA of the amount to bill such agencies.

The latest form for Statement of Expenditures and Financial Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Service Members expires 2029-06-30 and is listed under ICR 202501-1205-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form ETA 191 Statement of Expenditures and Financial Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-ServicememberForm
OMB 1205-0162 Supporting Statement_2025.docxSupporting Statement A
Statement of Expenditures and Financial Adjustment of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers Form
Statement of Expenditures and Financial Adjustment of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers Form
Statement of Expenditures and Financial Adjustment of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202501-1205-002 Extension without change of a currently approved collection 2025-05-02
202204-1205-003 Revision of a currently approved collection 2022-05-24 Approved without change
201905-1205-010 Extension without change of a currently approved collection 2019-06-28 Approved without change
201510-1205-009 Extension without change of a currently approved collection 2016-03-08 Approved without change
201211-1205-001 Extension without change of a currently approved collection 2013-01-25 Approved without change
200907-1205-009 Extension without change of a currently approved collection 2009-08-10 Approved without change
200607-1205-002 Extension without change of a currently approved collection 2006-07-13 Approved without change
200307-1205-003 Extension without change of a currently approved collection 2003-07-30 Approved without change
200006-1205-001 Extension without change of a currently approved collection 2000-06-09 Approved without change
199705-1205-003 Reinstatement without change of a previously approved collection 1997-05-15 Approved without change
199312-1205-008 Reinstatement with change of a previously approved collection 1993-12-29 Approved without change
199008-1205-006 Extension without change of a currently approved collection 1990-08-23 Approved without change
198908-1205-004 No material or nonsubstantive change to a currently approved collection 1989-08-03 Approved with change
198712-1205-002 No material or nonsubstantive change to a currently approved collection 1987-12-09 Approved with change
198709-1205-004 Revision of a currently approved collection 1987-09-24 Approved without change
198406-1205-009 Reinstatement with change of a previously approved collection 1984-06-07 Approved without change
198110-1205-002 New collection (Request for a new OMB Control Number) 1981-10-29 Approved without change