U.S. DEPARTMENT OF LABOR

Employment and Training Administration

                                                                         Exp. Date


                                                                         OMB Approval #1205-0132

WORKSHEET UI-1

UI STAFF HOURS

State

Fiscal Year

Date

                         Annual Hours Per Staff Year and Quarterly Distribution

Hours Per Staff Year

   Annual

   First

Second

   Third

  Fourth

a. Hours Worked

 

 

 

 

 

b. Hours Paid

 

 

 

 

 

Comments

                                                                           ETA 8623A (June 1994)

 

 

 

 

 

 

                                           INSTRUCTIONS FOR THE UI-1

 

Public Report­ing Burden for the collec­tion of this infor­mation is esti­mated to average 15 min­utes per re­sponse, includ­ing time for review­ing in­struc­tions, search­ing exist­ing data sourc­es, gather­ing and main­tain­ing the data needed, and com­pleting and review­ing the collec­tion of infor­mation.  Send com­ments regard­ing the burden esti­mate or any other aspect of this collec­tion of infor­mation, includ­ing sugges­tions for reduc­ing this burden, to the Office of Manage­ment and Budget, Paper­work Reduc­tion Project (0348-0003), Wash­ington, DC 20503

1

 

 

 

 Please type or print le­gi­bly.  The following general instructions explain how to use the form itself.

 

 

Item                       Entry                                

 

 

a.       Enter the annual staff year hours worked and distribution by quarter.  The annual hours for this item must equal the annual hours for item 3.

 

b.       Enter the annual staff year hours paid and distribution by quarter.  The annual hours for this item must equal the annual hours for item 4.

 

 

 

 

 

                                                                                      ETA 8623A (June 1994) Back