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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201508-1205-005 · 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 Available
1205-0028 Final_Supporting Statement.doc Supporting Statement A Uploaded 2015-08-28 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 201508-1205-005
Historical Active 201207-1205-002
DOL/ETA
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
Extension without change of a currently approved collection   No
Regular
Approved without change 10/06/2015
Retrieve Notice of Action (NOA) 09/02/2015
  Inventory as of this Action Requested Previously Approved
10/31/2018 36 Months From Approved 10/31/2015
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 (EB) 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(a)(6) Name of Law: Social Security Act
   PL: Pub.L. 91 - 373 203 Name of Law: Federal-State Extended Unemployment Compensation Act of 1970
  
None
Not associated with rulemaking
  80 FR 16458 03/27/2015
80 FR 52984 09/02/2015
No
1
IC Title Form No. Form Name
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed ETA 538, ETA 539 Claimant Activity ,   Section 1 Claimant Activity
  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
$26,367
No
No
No
No
No
Uncollected
Walter Parker 202 693-2778 [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.
09/02/2015