Welfare-to-Work (WtW) Formula/Competitive Grant Cumulative Quarterly Financial Status Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13189	Welfare-to-Work (WtW) Formula/Competitive Grant Cumulative Quarterly Financial Status Reports	Form	Migrated

ICR Details

OMB Control No: 1205-0385	ICR Reference No: 199810-1205-001
Status: Historical Active	Previous ICR Reference No: 199712-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Welfare-to-Work (WtW) Formula/Competitive Grant Cumulative Quarterly Financial Status Reports
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/16/1998
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/21/1998
	Date Received in OIRA: 10/01/1998
Terms of Clearance: Approved as amended by DOL's memo and revisions of 12/07/98 2/10/99. In addition, DOL agrees to the following terms of clearance: Within 25 days of this clearance: (1) DOL will submit to OMB the DOL portion of the HHS participant data reporting package. Specifically, DOL will submit: (a) a common reporting form that encompasses all the elements that HHS proposes to collect as well as the elements DOL proposes to collect, and (b) DOL's proposed strategy for collecting participant information from competitive grantees. (2) DOL will prepare a response letter to the public comment from Wisconsin consistent with DOL's memo to OMB of 12/7. (3) DOL will submit to OMB as soon as practical any necessary changes to the form (not already submitted in the 12/7 and 2/10 revisions) so that it can be used consistent with reporting on the WtW Performance Bonus criteria.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1999	06/30/1999	12/31/1998
Responses	1,020	0	1,020
Time Burden (Hours)	510	0	510
Cost Burden (Dollars)	0	0	0

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Abstract: This request for emergency clearance of the WtW Formula and Competitive Grant Cumulative Quarterly Financial Status Report formats is necessary so that the Department may collect financial data and data for the newly approved OMB performance bonus criteria measures from States and other grant recipients on a quarterly basis. The information will provide the means for the Secretary of Labor to manage and evaluate the program and to measure State performance for purposes of determining and awarding performance bonuses to States. The performance bonuses are authorized under....

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Welfare-to-Work (WtW) Formula/Competitive Grant Cumulative Quarterly Financial Status Reports	ETA-9068, ETA-9068-1

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ICR Summary of Burden

table that charts list 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	1,020	1,020	0	0	0	0
Annual Time Burden (Hours)	510	510	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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 10/01/1998

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