Unemployment Insurance Trust Fund Activity

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0154 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 2112 Unemployment Insurance Trust Fund Activity Form and Instruction
ETA 2112 Funds Management Activity SectionII_FundManagementActivity_ETA 2112 4 2012.docx Form and Instruction
ETA 8401 Banking Activity SectionIII_BankingActivity_ETA 8401.doc Form and Instruction
ETA 8403 Banking Activity SectionIII_BankingActivity_ETA 8403.doc Form and Instruction
ETA 8405 Banking Activity SectionIII_BankingActivity_ETA 8405.doc Form and Instruction
ETA 8413 Banking Activity SectionIII_BankingActivity_ETA 8413.doc Form and Instruction
ETA 8414 Banking Activity SectionIII_BankingActivity_ETA 8414.doc Form and Instruction
ETA Handbook 402_5th.pdf ETA Handbook 402 IC Document
EB Program - Temp Changes - UW SF Act.pdf Extended Benefits Program UIPL IC Document
New Temp FAC Program.pdf New Temporary Federal Assistance Compensation Program IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Unemployment Insurance Trust Fund Activity	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 601.5(a)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 2112	Funds Management Activity	SectionII_FundManagementActivity_ETA 2112 4 2012.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8401	Banking Activity	SectionIII_BankingActivity_ETA 8401.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8403	Banking Activity	SectionIII_BankingActivity_ETA 8403.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8405	Banking Activity	SectionIII_BankingActivity_ETA 8405.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8413	Banking Activity	SectionIII_BankingActivity_ETA 8413.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 8414	Banking Activity	SectionIII_BankingActivity_ETA 8414.doc	Yes	Yes	Fillable Fileable

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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,498	0	3,498
Annual IC Time Burden (Hours)	1,908	159	1,749
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
ETA Handbook 402	ETA Handbook 402_5th.pdf	02/20/2009
Extended Benefits Program UIPL	EB Program - Temp Changes - UW SF Act.pdf	02/24/2009
New Temporary Federal Assistance Compensation Program	New Temp FAC Program.pdf	02/26/2009

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