Information Collection

Elements of An Unemployment Insurance (UI) Reemployment Services and Eligibility Assessment (RESEA) Grant State Plan

IC 236611 under ICR 202208-1205-008 · OMB 1205-0538.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0538 can be found here:

Documents and Forms

Document Name Document Type
RESEA State Plan Elements 082222.docx Other-RESEA State Plan Elements
RESEA State Plan Elements 082222.docx Other-RESEA State Plan Elements
State Plan Template Red line.pdf Tracked IC Document
State Plan Template Red line.pdf Tracked IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Elements of An Unemployment Insurance (UI) Reemployment Services and Eligibility Assessment (RESEA) Grant State Plan	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
Other-RESEA State Plan Elements			RESEA State Plan Elements 082222.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

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	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	2,120	2,120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Tracked	State Plan Template Red line.pdf	08/22/2022

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