Benefits Timeliness and Quality Review System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0359 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9055 Benefits Timeliness and Quality Review System Form and Instruction
ETA 9055 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9055 exp 2014.doc Form and Instruction
ETA 9050 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9050_ exp 2014.doc Form and Instruction
ETA 9051 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9051 exp 2014.doc Form and Instruction
ETA 9052 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9052 exp 2014.doc Form and Instruction
ETA 9054 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9054 exp 2014.doc Form and Instruction
ETA 9056 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9056 exp 2014.doc Form and Instruction
ETA 9057 Section V Benefits Time Lapse and Quality SectionV_Benefits_TimeLapse_and_Quality_ETA 9057 exp 2014.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Benefits Timeliness and Quality Review System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9055	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9055 exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9050	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9050_ exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9051	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9051 exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9052	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9052 exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9054	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9054 exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9056	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9056 exp 2014.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9057	Section V Benefits Time Lapse and Quality	SectionV_Benefits_TimeLapse_and_Quality_ETA 9057 exp 2014.doc	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,196	-780	29,976
Annual IC Time Burden (Hours)	38,692	-1,200	39,892
Annual IC Cost Burden (Dollars)	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.