View Information Collection (IC)

View Information Collection (IC)

IC Title:	Unemployment Insurance Data Validation Program	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-record layout			record_layout_227.pdf		Yes	Yes	Fillable Fileable
Other-specifications for subpopulation			Subpopulation Specs 227 Changes 121812 (3).xlsx		Yes	Yes	Fillable Fileable
Other-handbook			ET Handbook 361 UI DV Benefits 2 2013.docx		Yes	Yes	Fillable Fileable
Other-operations guide			ETA Operations Guide 411 final 2 2013.docx		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	53	0	0	0	0	53
Annual IC Time Burden (Hours)	34,550	0	4,169	1,231	0	29,150
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
data validation changes summary	A Summary of Data Validation Changes 12 18 2012.docx	02/21/2013

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