Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Benefit Appeals Report (ETA 5130 REG) Modified 636 636 0 Form and Instruction ETA 5130
Benefit Appeals Report -- Extended Benefits (ETA 5130) New 636 636 0 Form and Instruction ETA 5130
Total burden requested under this ICR: 1272 1272 0  
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