1. Purpose.To announce that the Office of Management and Budget (OMB) has approved the extension of data collection for the Benefit Appeals Report, ETA 5130.
2. References.Federal Register Notice: 69 FR 36103, dated June 28, 2004.
3. OMB Approval.OMB has approved extension of the Benefit Appeals Report, ETA 5130, information collection according to the Paperwork Reduction Act of 1995 under OMB approval No. 1205-0172 to expire November 30, 2007.
2. References.Federal Register Notice: 69 FR 36103, dated June 28, 2004.
4. Burden Disclosure. Persons are not required to respond to this data collection unless it displays an OMB approval number. The state reporting burden for this collection of information is estimated to average one (1) hour per report, including the time for reviewing instructions, gathering and
maintaining the data needed, and submitting the data in the required report form. The respondent's obligation to furnish this information is mandatory (SSA, Sec. 303(a)(6)). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the U.S. Department of Labor, Office of Workforce Security, Room S4231, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0430).
5. Action Required. State Administrators are requested to provide the above information to the appropriate staff.
6. Inquiries. Direct all inquiries to the appropriate ETA Regional Office.
| RESCISSIONS | EXPIRATION DATE |
| None | November 30, 2007 |