View Information Collection (IC)

View Information Collection (IC)

IC Title:	Unemployment Insurance Tax and Benefits Supplemental Funding Opportunity	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-UI Tax and Benefits Supplemental Funding Opportunity			UI Tax and Benefits Supplemental Funding Opportunity_edited.doc	www.doleta.gov	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: 54	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	54	0	54	0	0	0
Annual IC Time Burden (Hours)	1,080	0	1,080	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1225-0086 UIPL Supplemental Support Statement (20170810)	1225-0086 UIPL Supplemental Support Statement (20170810).docx	08/10/2017

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