Information Collection

Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284

IC 43788 under ICR 200606-1205-008 · OMB 1205-0176.

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Information Collection (IC) Details

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IC Title:	Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	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: 1	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,297	1,991	3,306
Annual IC Time Burden (Hours)	55	-55	110
Annual IC Cost Burden (Dollars)	37,000	-39,000	76,000

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