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Federal forms, ICRs, and supporting documents

Information Collection Request

Unemployment Insurance (UI) Title XII Advances and Voluntary Repayment Process

ICR 202408-1205-003 · OMB 1205-0199 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
OMB 1205-0199_ Supporting Statement_11.13.24.docx Supporting Statement A Uploaded 2024-11-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
43789 Unemployment Insurance Title XII Advances and Voluntary Repayment Process Instruction Modified
ICR Details
1205-0199 202408-1205-003
Received in OIRA 202112-1205-010
DOL/ETA
Unemployment Insurance (UI) Title XII Advances and Voluntary Repayment Process
Revision of a currently approved collection   No
Regular 11/27/2024
  Requested Previously Approved
36 Months From Approved 03/31/2025
12 57
12 57
0 0
This information collection's purpose is to maintain a process for state governors for requesting advances and repaying advances through their correspondence with the Secretary of Labor.
US Code: 42 USC 1321(a) Name of Law: Social Security Act
  
None
Not associated with rulemaking
  89 FR 39648 05/09/2024
89 FR 93665 11/27/2024
No
1
IC Title Form No. Form Name
Unemployment Insurance Title XII Advances and Voluntary Repayment Process
  Total Request 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 12 57 0 -45 0 0
Annual Time Burden (Hours) 12 57 0 -45 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Due to the economics conditions, using historical pattern, the burden is estimated to be lessen, however there are no actual changes to the collection.
$201,750
No
    No
    No
No
No
No
No
Patrice Gibson 202 693-0158 [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.
11/27/2024