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Federal forms, ICRs, and supporting documents

Information Collection Request

UNEMPLOYMENT INSURANCE PROGRAM LETTER (ETA RC80), STATE SURVEY FORM

ICR 198509-1205-003 · OMB 1205-0241 · Historical Active

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IC IDCollectionTypeStatusForm
121240 UNEMPLOYMENT INSURANCE PROGRAM LETTER (ETA RC80), STATE SURVEY FORM Form Migrated
ICR Details
1205-0241 198509-1205-003
Historical Active
DOL/ETA
UNEMPLOYMENT INSURANCE PROGRAM LETTER (ETA RC80), STATE SURVEY FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/22/1985
Retrieve Notice of Action (NOA) 09/06/1985
ON 11/19/85, the Department submitted proposed revisions to the proposed State survey form. The proposed survey, as revised, is approved through February 1986 for a one-time only use.
  Inventory as of this Action Requested Previously Approved
02/28/1986 02/28/1986
53 0 0
318 0 0
0 0 0
INFORMATION IS REQUIRED FROM STATE EMPLOYMENT SECURITY AGENCIES IN ORD TO DETERMINE THE FINANCIAL IMPACT OF THE INCREASE (AS OF 01/85) IN THE FEDERAL UNEMPLOYMENT TAX ACT TAX RATE. A COMPREHENSIVE ANALYSIS WILL UNDERTAKEN AND USED IN TESTIMONY BEFORE THE CONGRESS AND AS A BASIS FO DETERMINING THE IMPACT OF ANY FUTURE CHANGES IN THE TAX RATE.
None
None
No
1
IC Title Form No. Form Name
UNEMPLOYMENT INSURANCE PROGRAM LETTER (ETA RC80), STATE SURVEY FORM ETA RC80
  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 53 0 0 53 0 0
Annual Time Burden (Hours) 318 0 0 318 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/06/1985