Information Collection

Unemployment Compensation for Ex-servicemembers (UCX) Handbook

IC 13015 under ICR 200303-1205-003 · OMB 1205-0176.

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Information Collection (IC) Details

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IC Title:	Unemployment Compensation for Ex-servicemembers (UCX) Handbook	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-841				Yes	Yes
Form	ETA-843				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: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,306	-62,820	66,126
Annual IC Time Burden (Hours)	110	-1,598	1,708
Annual IC Cost Burden (Dollars)	76,000	-1,451,000	1,527,000

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