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Survey of Unemployment Insurance Recipients
Longitudinal Study of Unemployment Insurance Recipients
OMB: 1290-0009
IC ID: 208255
OMB.report
DOL/OS
OMB 1290-0009
ICR 201308-1290-001
IC 208255
( )
Documents and Forms
Document Name
Document Type
Form 1-CATI
Survey of Unemployment Insurance Recipients
Form
1-CATI First Interview CATI
LS-UI First Interview-CATI (2014-07-03).docx
Form
2-CATI Second Interview CATI
LS-UI Second Interview CATI (2014-07-03).docx
Form
3-CATI Third Interview CATI
LS-UI Third Interview CATI (2014-07-03).docx
Form
1-Web First Interview Web
LS-UI First Interview WEB (2014-07-03).docx
Form
2-Web Second Interview-Web
LS-UI Second Interview WEB (2014-07-03).docx
Form
3-Web Third Interview-Web
LS-UI Third Interview WEB (2014-07-03).docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey of Unemployment Insurance Recipients
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Form
1-CATI
First Interview CATI
LS-UI First Interview-CATI (2014-07-03).docx
Yes
Yes
Fillable Fileable
Form
2-CATI
Second Interview CATI
LS-UI Second Interview CATI (2014-07-03).docx
Yes
Yes
Fillable Fileable
Form
1-Web
First Interview Web
LS-UI First Interview WEB (2014-07-03).docx
Yes
Yes
Fillable Fileable
Form
2-Web
Second Interview-Web
LS-UI Second Interview WEB (2014-07-03).docx
Yes
Yes
Fillable Fileable
Form
3-Web
Third Interview-Web
LS-UI Third Interview WEB (2014-07-03).docx
Yes
Yes
Fillable Fileable
Form
3-CATI
Third Interview CATI
LS-UI Third Interview CATI (2014-07-03).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Unemployment Compensation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,178
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
60 %
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
5,695
0
5,695
0
0
0
Annual IC Time Burden (Hours)
2,373
0
2,373
0
0
0
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.