Attachment II

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 Report Burden for the collection of this information is estimated to average 15 minutes per response, including time for reviewing instructions, search 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.

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

Item        Entry

  1.      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.

  2.      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