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Federal forms, ICRs, and supporting documents

Information Collection Request

EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES)

ICR 197607-1205-004 · OMB 1205-0003 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
168121 EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES) Form Migrated
ICR Details
1205-0003 197607-1205-004
Historical Active 197606-1205-001
DOL/ETA
EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES)
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/09/1976
Approved with change 07/09/1976
Retrieve Notice of Action (NOA) 07/09/1976
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981 03/31/1981
1,900,000 0 650,000
95,000 0 95,000
0 0 0

None
None
No
1
IC Title Form No. Form Name
EMPLOYER RECORD - CONTACTS, EMPLOYER RECORD - ABRIDGED (FOR STATE EMPLOYMENT SECURITY AGENCIES) ES-330
  Total Approved 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 1,900,000 650,000 0 1,250,000 0 0
Annual Time Burden (Hours) 95,000 95,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/09/1976