View Information Collection (IC)

View Information Collection (IC)

IC Title:	Reemployment and Eligibility Assessment 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
Form and Instruction	ETA 9128	RESEA Workload	SectionIV_SpecialPrograms_ETA 9128 sof 6172022_clean copy.docx		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9129	RESEA Assessment Outcomes	SectionIV_SpecialPrograms_ETA 9129.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	424	0	0	0	0	424
Annual IC Time Burden (Hours)	1,234	0	174	0	0	1,060
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
9128 Tracked Changes	SectionIV_SpecialPrograms_ETA 9128 sof 6172022_tracked.docx	06/30/2022

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