Information Collection

Unemployment Insurance Modernization Incentive Payments

IC 188126 under ICR 200902-1205-005 · OMB 1205-0470.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0470 can be found here:

Documents and Forms

Document Name Document Type
UIPL14-09.pdf wdr.doleta.gov/directives/attach/UIPL/UIPL14-09.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unemployment Insurance Modernization Incentive Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Instruction			UIPL14-09.pdf	http://wdr.doleta.gov/directives/attach/UIPL/UIPL14-09.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

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: 50 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	424	424
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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