View Information Collection (IC)

View Information Collection (IC)

Benefits Timeliness and Quality Review System
 
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
Form and Instruction ETA 9050 First Payment Time Lapse SectionV_Benefits_TimeLapse_and_Quality_ETA 9050_Change_1.doc Yes Yes Fillable Fileable
Form and Instruction ETA-9051 Continued Weeks Compensated Time Lapse SectionV_Benefits_TimeLapse_and_Quality_ETA 9051.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9052 Nonmonetary Determination TIme Lapse Detection SectionV_Benefits_TimeLapse_and_Quality_ETA 9052.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9054 Appeals Time Lapse SectionV_Benefits_TimeLapse_and_Quality_ETA 9054.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9055 Appeals Case Aging SectionV_Benefits_TimeLapse_and_Quality_ETA 9055.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9056 Nonmonetary Determination Quality Review SectionV_Benefits_TimeLapse_and_Quality_ETA 9056.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9057 Lower Authority Appeals Quality Review SectionV_Benefits_TimeLapse_and_Quality_ETA 9057.doc Yes Yes Fillable Fileable

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 29,976 0 0 1,064 0 28,912
Annual IC Time Burden (Hours) 39,892 0 0 2,360 0 37,532
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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