OMB control number
Experience Rating Report
OMB 1205-0164 · DOL/ETA.
OMB 1205-0164
The ETA-204 provides data to ETA for the study of seasonality, employment or payroll fluctuations, and stabilization, expansion or contraction in operations on employment experience. The data are used to provide an indication of whether solvency problems exist in the State's Trust Fund accounts and in analyzing factors that give rise to solvency problems. The data are also used to complete the Experience Rating Index.
The latest form for Experience Rating Report expires 2027-12-31 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form and Instruction |
Supporting Statement A |
Form ETA 204 ETA-204 - Experience Rating
ETA-204 - Experience Rating All Historical Document Collections