View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3220-0022	ICR Reference No: 197512-3220-001
Status: Historical Active	Previous ICR Reference No: 197504-3220-006
Agency/Subagency: RRB	Agency Tracking No:
Title: APPLICATION FOR UNEMPLOYMENT BENEFITS AND EMPLOYMENT SERVICE -AND RECORD OF UI (UNEMPLOYMENT INSURANCE) APPLICATION
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 12/22/1975
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/22/1975
	Date Received in OIRA: 12/22/1975
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1977	03/31/1977	03/31/1977
Responses	108,000	0	98,000
Time Burden (Hours)	10,800	0	9,800
Cost Burden (Dollars)	0	0	0

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