This request for
clearance is approved for use through September 1983. However, form
ETA 842 and most of 841 (except question 16) are not subject to OMB
review and approval under 44 USC Chapter 35 since: 1) the state
agency is acting as an agent of the Department of Labor in filing
forms ETA 841 and 842. 2) most of the information on the forms is
obtained from DD214. Question 16 on ETA 841, which requests new
information from the former serviceman not on DD 214, is subject to
the Act. Since ETA 843 is used only when the DD 214 is unavailable
and the necessary information must be collected direct from the
serviceman, it is also subject to the Act. The reporting burden has
been changed to reflect the exclusion of some of the items from the
package.
Inventory as of this Action
Requested
Previously Approved
09/30/1983
09/30/1983
95,667
0
0
5,740
0
0
0
0
0
FEDERAL LAW (5 USC 8521 ET. SEQ.)
PROVIDES UNEMPLOYMENT INSURANCE PROTECTION TO FORMER MEMBERS OF THE
ARMED FORCES (EX-SERVICE PERSONS) AND IS REFERRED TO IN ABBREVIATED
FORM AS "UCX." THE FORMS IN CHAPTER V THROUGH VIII OF THE UCX
HANDBOOK ARE USED IN CONNECTION WITH THE PROVISION OF THIS BENEFIT
ASSISTANCE.
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:
(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;
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.