Information Collection

State Recodkeeping Burden in Conducting Audit

IC 203999 under ICR 201208-1205-003 · OMB 1205-0495.

Documents and Forms

Document Name Document Type
Form ETA 9162 State Recodkeeping Burden in Conducting Audit Form and Instruction
ETA 9162 Random AUdit for EUC 2008 claimants Reporting instructions for 1205-0495 ETA9162 Random Audit.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Recodkeeping Burden in Conducting Audit	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
Form and Instruction	ETA 9162	Random AUdit for EUC 2008 claimants	Reporting instructions for 1205-0495 ETA9162 Random Audit.doc		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: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	475,650	475,650
Annual IC Time Burden (Hours)	237,825	237,825
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.