Unemployment Compensation for Ex-Servicemembers Handbook

OMB 1205-0176

The UCX law (5 U.S.C. 8521-8523)* requires state workforce agencies (SWAs) to administer the UCX program in accordance with the same terms and conditions of the paying state's unemployment insurance law, which apply to unemployed claimants who worked in the private sector. Each state agency needs to obtain certain military service information on claimants filing for UCX benefits to enable them to determine his/her eligibility for benefits.

The latest form for Unemployment Compensation for Ex-Servicemembers Handbook expires 2022-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA 843 Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 384 Form
1205-0176 Supporting Statement FINAL.docx Supporting Statement A
ETAHandbook384_Att1 a10-a12.pdf Supplementary Document
Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 384 Form

All Historical Document Collections

202206-1205-004 Approved without change	Extension without change of a currently approved collection	2022-07-22
201906-1205-003 Approved with change	Revision of a currently approved collection	2019-06-28
201510-1205-005 Approved without change	Extension without change of a currently approved collection	2016-03-15
201212-1205-010 Approved without change	Extension without change of a currently approved collection	2013-01-29
200907-1205-011 Approved without change	Extension without change of a currently approved collection	2009-08-18
200606-1205-008 Approved without change	Extension without change of a currently approved collection	2006-06-27
200303-1205-003 Approved with change	Revision of a currently approved collection	2003-03-18
200002-1205-003 Approved without change	Revision of a currently approved collection	2000-02-03
199912-1205-001 Withdrawn and continue	Revision of a currently approved collection	1999-12-07
199612-1205-002 Approved without change	Revision of a currently approved collection	1996-12-09
199403-1205-003 Approved without change	Revision of a currently approved collection	1994-03-23
199312-1205-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1993-12-20
199304-1205-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1993-04-21
199304-1205-003 Approved without change	Revision of a currently approved collection	1993-04-21
199205-1205-001 Approved without change	Revision of a currently approved collection	1992-05-04
199203-1205-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1992-03-26
199109-1205-001 Approved without change	Reinstatement with change of a previously approved collection	1991-09-24
199009-1205-002 Approved without change	Revision of a currently approved collection	1990-09-25
198708-1205-008 Approved without change	Revision of a currently approved collection	1987-08-18
198608-1205-001 Approved without change	Revision of a currently approved collection	1986-08-19
198309-1205-007 Approved without change	Revision of a currently approved collection	1983-09-27
198201-1205-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-01-26
198111-1205-003 Approved without change	New collection (Request for a new OMB Control Number)	1981-11-20

OMB Details

Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284

Federal Enterprise Architecture: Income Security - Unemployment Compensation

Form ETA 843

Request for Military Documentation for UCX

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.