Information Collection

Weekly Claims And Extended Benefits Data And Weekly Initial And Continued Claims Report

IC 120618 under ICR 199207-1205-003 · OMB 1205-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0028 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	WEEKLY CLAIMS AND EXTENDED BENEFITS DATA AND WEEKLY INITIAL AND CONTINUED CLAIMS REPORT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 538				No	No
Form	539				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,512	2,756	2,756
Annual IC Time Burden (Hours)	3,675	230	3,445
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.