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Site Visit Data Collection (States)
Evaluation of the Unemployment Compensation Provisions of the American Recovery and Reinvestment Act of 2009
OMB: 1225-0089
IC ID: 200110
OMB.report
DOL/DM
OMB 1225-0089
ICR 201212-1225-001
IC 200110
( )
Documents and Forms
Document Name
Document Type
UCP_OMB_AppendixC_final_20121012.pdf
Other-Site Visit Protocol
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Site Visit Data Collection (States)
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-Site Visit Protocol
UCP_OMB_AppendixC_final_20121012.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
390
0
0
0
0
390
Annual IC Time Burden (Hours)
505
0
0
0
0
505
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.