Self-Employment Assistance of the Federal Emergency Unemployment Compensation Program

Forms and Documents

Document Name	Status
Form ETA 9161 A,B,C State Reporting, Self-Employment Assistance Form and Instruction	Modified
Form ETA 9161 A,B,C Participant Disclosures to States Form and Instruction	Modified
Form ETA 9161A,B,C State Records on Participants Form and Instruction	Modified
Supporting_Statement_ETA91619 11 2012.doc Supporting Statement A	2012-09-11

IC Document Collections

IC ID	Document Title	Status
201520	State Reporting, Self-Employment Assistance Form and Instruction	Modified
201511	Participant Disclosures to States Form and Instruction	Modified
201509	State Records on Participants Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0490	ICR Reference No: 201208-1205-005
Status: Historical Active	Previous ICR Reference No: 201203-1205-005
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Self-Employment Assistance of the Federal Emergency Unemployment Compensation Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2012
	Date Received in OIRA: 09/17/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2015	36 Months From Approved	10/31/2012
Responses	144,312	0	144,078
Time Burden (Hours)	72,624	0	72,624
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 112-96, the Middle Class Tax Relief and Job Creation Act of 2012, provides states with the opportunity to allow Unemployment Insurance (UI) claimants in the Federal Emergency Unemployment Compensation program of 2008 (EUC08) to participate in a reemployment program that helps them start their own businesses known as Self Employment Assistance (SEA). Currently, a handful of states use this reemployment program, for which a minor amount of information (claimants entering the program, and weeks and amounts of dollars paid) is collected under OMB Control Number 1205-0010. With the expansion of this program to something that could involve more people, and with a need to collect data documenting state activities and results, ETA seeks approval for a new reporting instrument specific to the SEA program.

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
   PL: Pub.L. 112 - 96 2183(b)(1) Name of Law: Middle Class Tax Relief and Job Creation Act of 2012
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 37715	06/22/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 57156	09/17/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
State Reporting, Self-Employment Assistance	ETA 9161 A,B,C	Self Employment Assistance
Participant Disclosures to States	ETA 9161 A,B,C	Self EMployment Assistance
State Records on Participants	ETA 9161A,B,C	Self Employment Assistance

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	144,312	144,078	0	0	234	0
Annual Time Burden (Hours)	72,624	72,624	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/17/2012

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