QW and UI

National Directory of New Hires

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0166 can be found here:

Documents and Forms

Document Name Document Type
Form 1 QW and UI Form and Instruction
1 Quarterly Wage Record & Unemployment Insurance Record La 0970-0166_NDNH_v13.3_QW_UI_Input Record Specifications.pdf Form and Instruction
1 Unemployment Insurance Record Layout Unemployment Insurance Record Layout Chart E Input Only FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	QW and UI	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Quarterly Wage Record & Unemployment Insurance Record Layout	0970-0166_NDNH_v13.3_QW_UI_Input Record Specifications.pdf		Yes	Yes	Fillable Printable
Form and Instruction	1	Unemployment Insurance Record Layout	Unemployment Insurance Record Layout Chart E Input Only FINAL.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

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	Previously Approved
Annual Number of Responses for this IC	1,378	1,378
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	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.