OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Experience Rating Report

OMB 1205-0164 ยท DOL/ETA.

OMB 1205-0164

The ETA-204 provides data to ETA for the study of seasonality, employment or payroll fluctuations, and stabilization, expansion or contraction in operations on employment experience. The data are used to provide an indication of whether solvency problems exist in the State's Trust Fund accounts and in analyzing factors that give rise to solvency problems. The data are also used to complete the Experience Rating Index.

The latest form for Experience Rating Report expires 2027-12-31 and is listed under ICR 202405-1205-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form ETA 204 ETA-204 - Experience RatingForm and Instruction
OMB 1205-0164 - Supporting Statement.docxSupporting Statement A
ETA-204 - Experience Rating Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202405-1205-001 Extension without change of a currently approved collection 2024-07-09
202108-1205-001 Extension without change of a currently approved collection 2021-09-28 Approved without change
201807-1205-004 Extension without change of a currently approved collection 2018-08-31 Approved without change
201506-1205-004 Extension without change of a currently approved collection 2015-06-22 Approved without change
201203-1205-002 Extension without change of a currently approved collection 2012-05-10 Approved with change
200910-1205-006 No material or nonsubstantive change to a currently approved collection 2009-12-03 Approved without change
200901-1205-005 Extension without change of a currently approved collection 2009-03-27 Approved without change
200601-1205-001 Extension without change of a currently approved collection 2006-01-12 Approved without change
200212-1205-001 Extension without change of a currently approved collection 2002-12-09 Approved without change
199912-1205-002 Extension without change of a currently approved collection 1999-12-13 Approved without change
199611-1205-009 Reinstatement without change of a previously approved collection 1996-11-22 Approved without change
199311-1205-001 Reinstatement with change of a previously approved collection 1993-11-19 Approved without change
199007-1205-004 Revision of a currently approved collection 1990-07-30 Approved without change
198707-1205-002 Revision of a currently approved collection 1987-07-31 Approved without change
198507-1205-003 Extension without change of a currently approved collection 1985-07-03 Approved without change
198209-1205-003 Revision of a currently approved collection 1982-09-01 Approved without change
198110-1205-004 New collection (Request for a new OMB Control Number) 1981-10-29 Approved without change