Information Collection

Unemployment Compensation for Federal Employees (States)

IC 13026 under ICR 202411-1205-005 · OMB 1205-0179.

Documents and Forms

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unemployment Compensation for Federal Employees (States)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 609 20 CFR 603

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Handbook			ETHand391.pdf	Yes	Yes	Fillable Fileable
Form	931	ETA 931	ETA 931-508.pdf	Yes	Yes	Fillable Fileable
Form	931A	ETA 931A	ETA931A-508.pdf	Yes	Yes	Fillable Fileable
Form	933	ETA 933	ETA933-508.pdf	Yes	Yes	Fillable Fileable
Form	935	ETA 935	ETA935-508.pdf	Yes	Yes	Fillable Fileable
Form	934	ETA 934	ETA934-508.pdf	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: 90 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	71,603	-105,311	176,914
Annual IC Time Burden (Hours)	5,374	-7,844	13,218
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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