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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Unemployment Insurance (UI) State Quality Service Plan (SQSP)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Table of Contents
Table of Contents.doc
Yes
Yes
Fillable Fileable
Instruction
Chapter I.doc
Yes
Yes
Fillable Printable
Instruction
Chapter II.doc
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-8623A
State Plan Worksheet, UI-1
Appendix I.doc
Yes
Yes
Fillable Fileable
Form and Instruction
UI-III
State Plan Worksheet
Appendix II.doc
Yes
Yes
Fillable Fileable
Form and Instruction
Appendix III, 1205-0132
Performance Measures
Appendix III.pdf
Yes
Yes
Fillable Fileable
Instruction
Appendix IV.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Unemployment Compensation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
583
0
0
0
0
583
Annual IC Time Burden (Hours)
1,963
0
153
0
0
1,810
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.