Senior Community Service Employment Program (SCSEP)

Forms and Documents

Document Name	Status
Form ETA 9120 SCSEP Participant Data Form Form	Removed
Form ETA 9120, ETA 9121 ETA 5140 and ETA 9191 Form and Instruction	New
Form ETA 8705B Grantee Equitable Distribution Report Form	Modified
Form ETA 8705A State Equitable Distribution Report Form	Modified
Form ETA 9182B SCSEP Consent for Use & Publication of Info Form	Removed
Form ETA 9182A SCSEP Release and Authorization to Photograph Form	Removed
Form ETA 9181 SCSEP Transfer Instructions Form	Modified
Form ETA 9180B SCSEP Grantee Sub-State Data Form	Removed
Form ETA 9180A SCSEP Negotiation Calendar Form	Removed
Form ETA 9123 SCSEP Exit Form Form	Removed
Form ETA 9122 SCSEP Unsubsidized Employment Form Form	Removed
Form ETA 9121 SCSEP Community Service Assignment Form Form	Removed
Form ETA 8705 SCSEP Equitable Distribution Report Form	Removed
Form ETA 9124A, 9124B, SCSEP Customer Satisfaction Surveys Form and Instruction	Modified
Additional Context for ICR Changes 10.18.21.docx Supplementary Document	2021-10-18
signed_PRA Signature Form_SCSEP_(2021_1001).pdf Supplementary Document	2021-10-04
1205-0040 Supporting Statement Part B Revised 100421.docx Supporting Statement B	2021-10-04
1205-0040 Supporting Statement A 101221.docx Supporting Statement A	2021-10-12

IC Document Collections

IC ID	Document Title	Status
43785	SCSEP Participant Data Form Form	Removed
249068	ETA 5140 and ETA 9191 Form and Instruction	New
232731	Grantee Equitable Distribution Report Form	Modified
232730	State Equitable Distribution Report Form	Modified
232728	SCSEP Consent for Use & Publication of Info Form	Removed
232727	SCSEP Release and Authorization to Photograph Form	Removed
232726	SCSEP Transfer Instructions Form	Modified
232725	SCSEP Grantee Sub-State Data Form	Removed
232724	SCSEP Negotiation Calendar Form	Removed
215838	Planning Instructions and Allotments for SCSEP Instruction	Modified
185407	SCSEP Four-Year State Strategy (and Two Year Modification)	Modified
181011	SCSEP Exit Form Form	Removed
181009	SCSEP Unsubsidized Employment Form Form	Removed
181007	SCSEP Community Service Assignment Form Form	Removed
180499	SCSEP Equitable Distribution Report Form	Removed
180160	SCSEP Customer Satisfaction Surveys Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0040	ICR Reference No: 202108-1205-007
Status: Received in OIRA	Previous ICR Reference No: 201808-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Senior Community Service Employment Program (SCSEP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/18/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	70,408	208,332
Time Burden (Hours)	157,921	31,014
Cost Burden (Dollars)	0	0

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Abstract: The Senior Community Service Employment Program (SCSEP), is a community service and work-based training program for older workers. The program provides subsidized, work-experience training for low-income persons 55 or older who are unemployed and have poor employment prospects. SCSEP national grants are awarded through a competitive process; state and territorial grants are awarded through a formula outlined in the OAA-2016 Section 506 (b-c). The dual goals of the program are to promote useful community service employment activities and to move SCSEP participants into unsubsidized employment, so that they can achieve economic self-sufficiency. The Department is required to collect the information in order to comply with the OAA statutory and regulatory requirements. The information is also necessary for grantee performance accountability and program management.

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Authorizing Statute(s): PL: Pub.L. 114 - 144 500-518 Name of Law: Older Americans Act Reauthorization Act of 2016
  

Citations for New Statutory Requirements: PL: Pub.L. 116 - 131 401 Name of Law: Supporting Older Americans Act of 2020

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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:
	86 FR 20203	04/16/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 57700	10/18/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
ETA 5140 and ETA 9191	ETA 9120, ETA 9121, ETA 9022, ETA 9123, ETA 9191, ETA 5140	SPARQ Data Collection Forms ,   GPMS Data Collection Instrument ,   SCSEP Quarterly Progress Report
Grantee Equitable Distribution Report	ETA 8705B	Equitable Distribution Report
Planning Instructions and Allotments for SCSEP
SCSEP Community Service Assignment Form	ETA 9121	SPARQ Community Service Form
SCSEP Consent for Use & Publication of Info	ETA 9182B	Consent for Use and Publication of Information
SCSEP Customer Satisfaction Surveys	ETA 9124A, 9124B, and 9124C	SCSEP Customer Satisfaction Surveys
SCSEP Equitable Distribution Report	ETA 8705	Equitable Distribution Report
SCSEP Exit Form	ETA 9123	SPARQ Exit Form
SCSEP Four-Year State Strategy (and Two Year Modification)
SCSEP Grantee Sub-State Data	ETA 9180B	State of Sub-State Data
SCSEP Negotiation Calendar	ETA 9180A	Goal Negotiation Calendar
SCSEP Participant Data Form	ETA 9120	SPARQ Participant Form
SCSEP Release and Authorization to Photograph	ETA 9182A	Release and Authorization to Photograph
SCSEP Transfer Instructions	ETA 9181	Instructions for Discretionary Transfers
SCSEP Unsubsidized Employment Form	ETA 9122	SCSEP Unsubsidized Employment Form
State Equitable Distribution Report	ETA 8705A	Equitable Distribution Report

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ICR Summary of Burden

	Total Request	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	70,408	208,332	8,476	40,672	-187,072	0
Annual Time Burden (Hours)	157,921	31,014	25,427	124,746	-23,266	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The PY 2020 national grant competition resulted in a net gain of one national grantee, which impacts both the equitable distribution report and the annual planning and allotment requirements burdens. However, because the modified positions for the program are based on the minimum wage within the state or locality where the positions reside, increasing minimum wages have resulted in fewer modified positions, which means fewer respondent records on which to collect data. ETA is also reducing the paperwork burden for this ICR by moving the request relating to describing SCSEP grant operations solely to the State Plan (for state and territory grantees) and to responses to the Funding Opportunity Announcement (FOA) submitted by national grantee applicants. The annual planning requirement would be used only to update the information provided in State Plan submissions and FOA responses, as applicable. Further, the Older American Act Reauthorization of 2020 added a new category to SCSEP priority requirements such that eligible individuals who have been incarcerated within the last five years or are under supervision following release from prison or jail within the last five years are now a priority population for enrollment and an additional category for the most in need characteristics that constitute one of the core performance measures. The Act also allows grantees to add this category to the list of barriers the grantees choose to make eligible for increased periods of participation. This PRA submission adjusts our data collection vehicles to include this added priority.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 10/18/2021

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