Information Collection

Supplementary Budget Request Activities

IC 212051 under ICR 201708-1205-003 · OMB 1205-0517.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0517 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9178 Supplementary Budget Request Activities Form and Instruction
ETA 9178 Quarterly Reporting Form for Supplemental Activities Reporting Instructions_ETA 9178.doc Form and Instruction
ETA 9178 Quarterly Narrative Progress Report Quarterly Narrative Progress Report_ETA 9178.docx Form
Reporting Instructions_ETA 9178 (track changes).pdf Quarterly Program Reporting Form & Instructions IC Document
Quarterly Narrative Progress Report_ETA 9178 (track changes).pdf Quarterly Narrative Progress Report IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplementary Budget Request Activities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 9178	Quarterly Reporting Form for Supplemental Activities	Reporting Instructions_ETA 9178.doc		Yes	Yes	Fillable Printable
Form	ETA 9178	Quarterly Narrative Progress Report	Quarterly Narrative Progress Report_ETA 9178.docx		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	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	Previously Approved
Annual Number of Responses for this IC	228	16	212
Annual IC Time Burden (Hours)	1,140	-97	1,237
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Quarterly Program Reporting Form & Instructions	Reporting Instructions_ETA 9178 (track changes).pdf	04/27/2018
Quarterly Narrative Progress Report	Quarterly Narrative Progress Report_ETA 9178 (track changes).pdf	04/27/2018

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