OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201012-1205-004 · OMB 1205-0028 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 539 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction Modified Repair queued
UIPL 04-10 Change 7 - Attachment II - Revised ETA 539 instructions.doc Supplementary Document Uploaded 2010-12-22 Repair queued
Justification for Non-Substantive Change Request, OMB 1205-0028, 12 22 2010.doc Justification for No Material/Nonsubstantive Change Uploaded 2010-12-22 Available
UIPL 04-10 Change 7 - EB 3 year lookback.doc Supplementary Document Uploaded 2010-12-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
43784 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction Modified
ICR Details
1205-0028 201012-1205-004
Historical Active 200911-1205-006
DOL/ETA
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/23/2010
Retrieve Notice of Action (NOA) 12/22/2010
  Inventory as of this Action Requested Previously Approved
09/30/2012 09/30/2012 09/30/2012
5,512 0 5,512
3,675 0 3,675
0 0 0
Data are necessary for the determination of the beginning, continuance, or termination of an Extended Benefit period in any State, which determine the EB trigger rate. Also, data on initial and continued claims are used to help determine economic indicators.
US Code: 42 USC 503 Name of Law: Social Security Act
   PL: Pub.L. 91 - 373 203 Name of Law: Federal-State Extended Unemployment Compensation Act of 1970
  
PL: Pub.L. 111 - 312 501, 502 Name of Law: Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010
Not associated with rulemaking
  74 FR 24039 05/22/2009
74 FR 39976 08/10/2009
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,512 5,512 0 0 0 0
Annual Time Burden (Hours) 3,675 3,675 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
No
No
No
Uncollected
Bonnie Naradzay 202-693-3675 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/22/2010