Information Collection

Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed

IC 12942 under ICR 199706-1205-004 · OMB 1205-0028.

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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 Weeks Claimed	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				Yes	Yes
Form	ETA-539				Yes	Yes

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: 98 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,512	5,512
Annual IC Time Burden (Hours)	3,675	3,675
Annual IC Cost Burden (Dollars)	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.