Information Collection

Unemployment Compensation for Federal Employees (Individuals)

IC 218054 under ICR 202411-1205-005 · OMB 1205-0179.

Documents and Forms

Document Name Document Type
Form 935 Unemployment Compensation for Federal Employees (Individuals) Form
935 ETA 935 ETA935-508 (2).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unemployment Compensation for Federal Employees (Individuals)	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	935	ETA 935	ETA935-508 (2).pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 514	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	514	-843	1,357
Annual IC Time Burden (Hours)	36	-59	95
Annual IC Cost Burden (Dollars)	1,989	-60,558	62,547

Documents for IC

Title	Document	Date Uploaded
No associated records found

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