OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Unemployment Insurance Data Validation Program

IC 13289 under ICR 202507-1205-003 · OMB 1205-0431.

Documents and Forms
Document Name
Document Type
Other-ET Handbook 361 UI DV Benefits
Other-ET Handbook 361 UI DV Benefits
Other-ETA Operations Guide 411
Other-ETA Operations Guide 411
Other-ET Handbook 361 UI DV Tax
Other-ET Handbook 361 UI DV Tax
Other-ET 361 HB - Appendix A
Other-ET 361 HB - Appendix A
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Unemployment Insurance Data Validation Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ET Handbook 361 UI DV Benefits ET Handbook 361 UI DV Benefits.pdf Yes No Printable Only
Other-ETA Operations Guide 411 ETA Operations Guide 411.pdf Yes No Printable Only
Other-ET Handbook 361 UI DV Tax ET Handbook 361 UI DV Tax.pdf Yes No Printable Only
Other-ET 361 HB - Appendix A ET 361 HB - Appendix A.pdf Yes No Printable Only

Income Security Unemployment Compensation

 

53 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 53 0 0 0 0 53
Annual IC Time Burden (Hours) 23,638 0 0 0 0 23,638
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Handbook 361 UI DV Benefits 3.3.25 with track changes Handbook 361 UI DV Benefits 3.3.25 with track changes .docx 07/24/2025
Tax Handbook 361 3.3.2025 with track changes Tax Handbook 361 3.3.2025 with track changes .docx 07/24/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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