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: 1205-0010	ICR Reference No: 202412-1205-002
Status: Active	Previous ICR Reference No: 202112-1205-007
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Claims and Payment Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/08/2026
	Date Received in OIRA: 01/15/2025
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2029	36 Months From Approved	05/31/2026
Responses	2,544	0	2,544
Time Burden (Hours)	7,314	0	6,996
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	2,544	2,544	0
Annual Time Burden (Hours)	7,314	6,996	318
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The proposed changes will expand the number of data cells and nature of the data collected on payments and claims activities, which increases the time associated to program, populate, and submit the report(s) to ETA. This change in scope to the report is reflected in a slight increase in burden after consultation with multiple state workforce agencies’ reporting units. The additional changes to the report will increase the estimated burden of the regular ETA 5159 from 120 minutes to 150 minutes. The new data fields will allow the Department to conduct more program performance analysis and to implement a Government Accountability Office recommendation for the program office to collect data on the number of unique claimants, which is not currently a data element collected by the Unemployment Insurance Required Reports system.

Annual Cost to Federal Government: $920,436

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Patrice Gibson 202 693-0158 gibson.patrice.a@dol.gov

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