View Information Collection (IC)

View Information Collection (IC)

IC Title:	Supplementary Budget Request Activities	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
Form and Instruction	ETA 9178	Quarterly Reporting Form for Supplemental Activities	Reporting Instructions_ETA 9178.doc		Yes	Yes	Fillable Printable
Form	ETA 9178	Quarterly Narrative Progress Report	Quarterly Narrative Progress Report_ETA 9178.docx		Yes	Yes	Fillable Printable

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: 57	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	228	0	0	16	0	212
Annual IC Time Burden (Hours)	1,140	0	0	-97	0	1,237
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Quarterly Program Reporting Form & Instructions	Reporting Instructions_ETA 9178 (track changes).pdf	04/27/2018
Quarterly Narrative Progress Report	Quarterly Narrative Progress Report_ETA 9178 (track changes).pdf	04/27/2018

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