Reemployment Services and Eligibility Assessment Program

Forms and Documents

Document Name	Status
Form ETA 9128X UCX claimants selected for an RESEs Form and Instruction	Modified
Form ETA 9129 Reemployment and Eligibility Assessment Program Form and Instruction	Modified
UIPL RESEA FY2016_12-4-15.doc Supplementary Document	2015-12-10
1205-0456 Final_Supporting Statement (2016-02-29).docx Supporting Statement A	2016-02-29

IC Document Collections

IC ID	Document Title	Status
201540	UCX claimants selected for an RESEs Form and Instruction	Modified
13320	Reemployment and Eligibility Assessment Program Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0456	ICR Reference No: 201509-1205-008
Status: Historical Active	Previous ICR Reference No: 201208-1205-008
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Reemployment Services and Eligibility Assessment 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: 08/01/2016
	Date Received in OIRA: 02/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved	07/31/2016
Responses	784	0	548
Time Burden (Hours)	392	0	274
Cost Burden (Dollars)	0	0	0

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Abstract: DOL uses the information collected in ETA 9128 and ETA 9129 1) to evaluate state performance in terms of service delivery; and 2) to report on the RESAs, including the number of scheduled in-person reemployment and eligibility assessments, the number of individuals who failed to appear for scheduled assessments, actions taken as a result of individuals not appearing for an assessment (e.g., benefits terminated), results of assessments (e.g., referred to reemployment services, found in compliance with program requirements), estimated savings resulting from cessation of benefits, and estimated savings as a result of accelerated reemployment. The population served includes claimants who have been determined to be most likely to exhaust their benefits and veterans receiving Unemployment Compensation for Ex-Servicemembers (UCX). It is proposed that the population of claimants who are most likely to exhaust their benefits be reported on the ETA 9128 and the ETA 9129 and separate reports with the same data elements be provided for UCX claimants. These reports will be the ETA 9128 X and the ETA 9129 X.

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Authorizing Statute(s): PL: Pub.L. 112 - 96 2142 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012.
   US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
  

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 38748	07/07/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 10670	03/01/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
UCX claimants selected for an RESEs	ETA 9128X, ETA 9129X	Section IV Special Programs ,   ETA 9129 X Reemployment Services and Eligibility Assessments (RESEAs) for Unemployment Compensation for Ex-Service members (UCX) Outcomes
Reemployment and Eligibility Assessment Program	ETA 9128, ETA 9129	ETA 9129 Reemployment Services and Eligibility Assessments (RESEAs) Outcomes ,   ETA 9128 - Reemployment Services and Eligibility Assessments (RESEAs) Workload

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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	784	548	0	0	236	0
Annual Time Burden (Hours)	392	274	0	0	118	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: The changes in burden reflect the fact that each state makes an individual decision in each year regarding their participation in the RESA program. As a result, the number of reports we anticipate will change with the number of states participating. The change from 42 states to 48 states participating produces a very small increase in overall expected burden. The breakout of reports for UCX claimants will double the burden for each participating state. These reports are automated and the program will simply record the data for the correct population in the ETA 9218 and the ETA 9129 for claimants who are most likely to exhaust their benefits and the ETA 9128 X and the ETA 9129 X for UCX claimants.

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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: 02/29/2016

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