Claims and Payment Activities

OMB 1205-0010

OMB 1205-0010

The Form ETA-5159 report provides important program information on claims taking and benefit payment activities under state/federal unemployment insurance laws. These data are needed for budget preparation and control, program planning and evaluation, personnel assignment, actuarial and program research, and for accounting to Congress and the public. This collection is authorized under the Social Security Act, Title III, Section 303(a)(6) and PL 112-96.

The latest form for Claims and Payment Activities expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Approved without change
Extension without change of a currently approved collection 2022-02-14
Approved without change
Extension without change of a currently approved collection 2019-03-01
Approved without change
Revision of a currently approved collection 2015-10-14
Approved without change
Extension without change of a currently approved collection 2012-09-24
Approved without change
Revision of a currently approved collection 2012-04-06
Approved without change
No material or nonsubstantive change to a currently approved collection 2009-11-17
Approved without change
Extension without change of a currently approved collection 2009-07-24
Approved without change
No material or nonsubstantive change to a currently approved collection 2009-03-18
Approved with change
Revision of a currently approved collection 2006-03-22
Approved without change
Extension without change of a currently approved collection 2003-03-18
Approved without change
Revision of a currently approved collection 2000-01-20
Approved without change
Revision of a currently approved collection 1997-03-25
Approved without change
Revision of a currently approved collection 1995-06-30
Approved without change
Revision of a currently approved collection 1993-10-27
Approved without change
Revision of a currently approved collection 1990-10-01
Approved without change
Revision of a currently approved collection 1987-09-01
Approved without change
Revision of a currently approved collection 1986-05-30
Approved without change
Extension without change of a currently approved collection 1984-11-28
Approved without change
Extension without change of a currently approved collection 1984-06-11
Approved without change
Revision of a currently approved collection 1982-03-25
Approved without change
Revision of a currently approved collection 1979-06-19
Approved with change
No material or nonsubstantive change to a currently approved collection 1977-01-25
Approved without change
Revision of a currently approved collection 1976-09-29
Approved without change
Extension without change of a currently approved collection 1975-11-18

© 2024 OMB.report | Privacy Policy