Information Collection

Unemployment Insurance Self-employment Demonstration

IC 121358 under ICR 199307-1205-011 · OMB 1205-0314.

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Information Collection (IC) Details

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IC Title:	UNEMPLOYMENT INSURANCE SELF-EMPLOYMENT DEMONSTRATION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	800	-1,435	2,235
Annual IC Time Burden (Hours)	415	-803	1,218
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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