OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Expenditures and Financial Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Service Members

OMB 1205-0162 · DOL/ETA.

OMB 1205-0162

Federal civilian and military agencies must reimburse the Federal Employees Compensation Account for the amount expended for benefits to former Federal (civilian) employees and ex-servicemembers. The report informs ETA of the amount to bill such agencies.

The latest form for Statement of Expenditures and Financial Adjustments of Federal Funds for Unemployment Compensation for Federal Employees and Ex-Service Members expires 2029-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supporting Statement A
All Historical Document Collections
 Extension without change of a currently approved collection 2025-05-02
Approved without change
 Revision of a currently approved collection 2022-05-24
Approved without change
 Extension without change of a currently approved collection 2019-06-28
Approved without change
 Extension without change of a currently approved collection 2016-03-08
Approved without change
 Extension without change of a currently approved collection 2013-01-25
Approved without change
 Extension without change of a currently approved collection 2009-08-10
Approved without change
 Extension without change of a currently approved collection 2006-07-13
Approved without change
 Extension without change of a currently approved collection 2003-07-30
Approved without change
 Extension without change of a currently approved collection 2000-06-09
Approved without change
 Reinstatement without change of a previously approved collection 1997-05-15
Approved without change
 Reinstatement with change of a previously approved collection 1993-12-29
Approved without change
 Extension without change of a currently approved collection 1990-08-23
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-08-03
Approved with change
 No material or nonsubstantive change to a currently approved collection 1987-12-09
Approved without change
 Revision of a currently approved collection 1987-09-24
Approved without change
 Reinstatement with change of a previously approved collection 1984-06-07
Approved without change
 New collection (Request for a new OMB Control Number) 1981-10-29