OMB control number
Claims and Payment Activities
OMB 1205-0010 · DOL/ETA.
OMB 1205-0010
The Form ETA-5159 report provides important program information on claims taking and benefit payment activities under state/federal unemployment insurance laws. These data are needed for budget preparation and control, program planning and evaluation, personnel assignment, actuarial and program research, and for accounting to Congress and the public. This collection is authorized under the Social Security Act, Title III, Section 303(a)(6) and PL 112-96.
The latest form for Claims and Payment Activities expires 2029-05-31 and can be found here.
Latest Forms, Documents, and Supporting Material
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Form ETA 5159 Claims and Payment Activities
Claims and Payment Activities All Historical Document Collections