View Information Collection (IC)
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View Information Collection (IC)

Benefits Timeliness and Quality Review System
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA-9050 First Payment Lapse Report ETA 9050 First Payment Time Lapse Report.pdf Yes Yes Fillable Printable
Form and Instruction ETA-9051 Continued Weeks Compensated Time Lapse ETA 9051 Continued Weeks Compendated Time Lapse.pdf Yes Yes Fillable Printable
Form ETA-9052 Nonmonetary Determination Time Lapse Detection Date ETA 9052 Nonmonetary Determination Time Lapse Detection Date.pdf Yes Yes Fillable Printable
Form ETA-9054 Appeals Time Lapse ETA 9054 Appeals Time Lapse.pdf Yes Yes Fillable Printable
Form and Instruction ETA-9055 Appeals Case Aging ETA 9055 Appeals Case Aging.pdf Yes Yes Fillable Printable
Form and Instruction ETA-9057 Lower Authority Appeals Quality Review ETA 9057 Lower Authority Appeals Quality Review.pdf Yes Yes Fillable Printable
Form and Instruction ETA 9056 Nonmonetary Determination Quality Review ETA 9056 Nonmonetary Determination Quality Review.pdf Yes Yes Fillable Printable
Form and Instruction ETA-9056 Nonmonetary Determination Quality Review proposed DCI and instructions.pdf Yes Yes Fillable Printable

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 28,912 0 0 0 0 28,912
Annual IC Time Burden (Hours) 37,532 0 -636 0 0 38,168
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Nonmonetary Determination Quality Review Change Justification DCI Change Justification 1 17 07.doc 01/17/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.