Survey of UI Recipients

Evaluation of the Unemployment Compensation Provisions of the American Recovery and Reinvestment Act of 2009

Documents and Forms

Document Name Document Type
UCP_OMB_AppendixA_final_20121012.pdf Other-Survey
UCP_OMB_AppendixG_final_20121012.pdf Appendix G--Respondent Mailings IC Document

Information Collection (IC) Details

IC Title:	Survey of UI Recipients	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			UCP_OMB_AppendixA_final_20121012.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix G--Respondent Mailings	UCP_OMB_AppendixG_final_20121012.pdf	12/03/2012

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