View Information Collection (IC)

View Information Collection (IC)

IC Title:	Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed	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-538	Advance Weekly Initial and Continued Claims Report	SectionI_ClaimantActivity_ETA 538.docx		Yes	Yes	Fillable Fileable
Form and Instruction	ETA-539	Claims and Extended Benefits Data	SectionI_ClaimantActivity_ETA 539.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: 98 %

	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	5,512	0	0	0	0	5,512
Annual IC Time Burden (Hours)	3,675	0	0	0	0	3,675
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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