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
1205-0490 Supporting Statement Final 2015-10-07.doc Supporting Statement A	2015-10-07

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: 201508-1205-007
Status: Historical Active	Previous ICR Reference No: 201208-1205-005
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Self-Employment Assistance of the Federal Emergency Unemployment Compensation Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/09/2015
	Date Received in OIRA: 10/14/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	12,828	0	144,312
Time Burden (Hours)	6,456	0	72,624
Cost Burden (Dollars)	0	0	0

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Abstract: Reporting Form ETA-9161, Self-Employment Assistance, includes information about people who enter the SEA program and the benefits they receive and some limited outcome data. These data are used for oversight and to provide data responsive to statutorily required evaluations of this program. A State summarizes information collected from SEA program participants to prepare the reports.

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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
   PL: Pub.L. 105 - 306 3 Name of Law: Noncitizen Benefit Clarification and Other Technical Amendments Act of 1998
  

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:
	80 FR 22744	04/23/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 61845	10/14/2015
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	12,828	144,312	0	-131,484	0	0
Annual Time Burden (Hours)	6,456	72,624	0	-66,168	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Previously information was collected for participants eligible for Emergency Unemployment Compensation, however that program has expired and authorization for that portion of this data collection is no longer necessary. Additionally, under current economic assumptions, no states are projected to pay compensation in the EB program during the next several years, resulting in a reduction in the burden estimate.

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Annual Cost to Federal Government: $26,367

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: 10/14/2015

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