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

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 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA 191 Statement of Expenditures and Financial Adjustment of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers Form
1205-0162 Supporting Statement 051822.docx Supporting Statement A
Statement of Expenditures and Financial Adjustment of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Servicemembers Form

All Historical Document Collections

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