ETA 9056 Nonmonetary Determination Quality Review

Benefits Timeliness and Quality Review System

ETA 9056 Nonmonetary Determination Quality Review

Benefits Timeliness and Quality Review System

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UI REPORTS HANDBOOK NO. 401
ETA 9056 Nonmonetary Determination Quality Review

CONTENTS
A.
B.

Facsimile of Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-7-2

Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-7-3


C.

Due Date and Transmittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General Reporting Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Data Collection Elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Checking the Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

D.
E.
F.
G.

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UI REPORTS HANDBOOK NO. 401
ETA 9056 Nonmonetary Determination Quality Review

A.

Facsimile of Form

ETA 9056, NONMONETARY DETERMINATIONS QUALITY DATA COLLECTION INSTRUMENT
1. IDENTIFICATION #: 00000 (5-digit sample sequence)
2. ISSUE CODE: (2-digit code)
3. CASE MATERIAL FOUND? (Y/N)

(If "N", case fails; elements are left blank.)

4. CORRECT ISSUE CODE? (Y/N) (If "Y," then item 5 is blank.)
5. IF ITEM 4 IS "N," ENTER THE CORRECT CODE FROM BELOW. (If no issue existed, enter "00.")
Separation
10 Quit
20 Discharge MC
29 Other

Non-Separations

Multi-claimant
80 School Employee
81 Alien
82 Athlete
83 Unemployment Status
84 Seasonality
85 Removal of Disq.
89 Reporting Requirements/
Misrepresentations/Other

30 Able/Available
40 Work Search
50 Disq/Ded Income
60 Suitable Work
70 JS Registration
71 Fail to App/Accept Referral
72 Training
73 Profiling

90 Labor Dispute
99 Other

6. INTRASTATE CLAIM? (Y/N)
7. PROGRAM TYPE: UI UCFE UCX
8. NONMONETARY DETERMINATION OUTCOME:

ALLOWED/DENIED

9. OUTCOME REPORTED CORRECTLY? (Y/N)
10 ADJUDICATOR: (SESA use only - 4 characters)
11. WEEK CLAIMED? (Y/N)
12. W/E DATE OF FIRST WEEK AFFECTED BY DETERMINATION: (mmddyyyy)
13. CORRECT WEEK ENDING DATE? (Y/N)
14. CORRECTED WEEK ENDING DATE (blank if item 13 is 'Y'): (mmddyyyy)
15. ISSUE DETECTION DATE: (mmddyyyy)
16. CORRECT ISSUE DETECTION DATE? (Y/N)
17. CORRECTED ISSUE DETECTION DATE: (blank if item 16 is 'Y'): (mmddyyyy)
18. CLAIMANT INFORMATION: Adequate A, Inadequate I, Not Obtained N, Not Applicable X
19. EMPLOYER INFORMATION: Adequate A, Inadequate I, Not Obtained N, Not Applicable X
20. INFORMATION (FACTS) FROM OTHERS: Adequate A, Inadequate I, Not Obtained N, Not Applicable X
21. REBUTTAL OPPORTUNITY PROVIDED: Offered O, Not Offered N, Not Applicable X
22. LAW/POLICY: Meets M, Questionable Q, Does Not Meet X
23. WRITTEN DETERMINATION: Adequate A, Inadequate I, Completely Wrong X
24. APPEAL INFORMATION PROVIDED: Sufficient S, Insufficient I
25. DATE DETERMINATION ISSUED: (mmddyyyy)
26. DETERMINATION FULLY IMPLEMENTED? (Y/N)
27. DATE DETERMINATION FULLY IMPLEMENTED: (mmddyyyy)

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(If 'X' then item 22 cannot be = 'M')

UI REPORTS HANDBOOK NO. 401
ETA 9056 Nonmonetary Determination Quality Review

B.

Purpose
The ETA 9056 report provides quarterly information on the quality of nonmonetary
determinations that State agencies issue to claimants and employers in the report
period. Intrastate and Interstate single-claimant and multi-claimant separation and
nonseparation nonmonetary determinations are included in the report. Nonmonetary
determinations made by organizational units such as Benefits Accuracy Measurement
(BAM) and Benefit Payment Control (BPC) are also included in the report. Notices
of overpayments on uncontested earnings detected by any method (e.g., crossmatch)
are excluded from the report.

C.

Due Date and Transmittal
The report is due in the ETA National Office on the 20th of the second month
following the quarter to which the data relates. This report must be transmitted
electronically.

D.

General Reporting Instructions
Each State will select a sample (see Appendix A) of nonmonetary determinations
from the nonmonetary determinations time lapse universe for the preceding quarter.
The sample universe is based on the time lapse data reported on the ETA 9052 for
each month in the review quarter. Basic information or “skeleton” data that uniquely
identifies each determination selected must be entered via the State’s SUNsparc
machine into the UIRR data base by the 15th of the first month following the end of the
review quarter. Skeleton data will either be automatically loaded as part of the State’s
sample selection program or will be manually entered into the database. Once all
skeleton data is entered, the State will invoke a sample validation program to verify
that the determinations selected meet the parameters of a valid sample. If the
selected sample meets validation, each nonmonetary determination will then be
evaluated according to the instructions provided in ETA Handbook 301, Benefits
Timeliness and Quality (BTQ) Nonmonetary Determinations Review (revised January,
1999). After the quality evaluation is complete, the official results will be entered into
the database. The system will automatically compute the quality scores when all data
has been entered.

`
`
`
`

Includes State UI, UCFE and UCX.

Includes Intrastate and Interstate.

Includes single-claimant and multi-claimant.

Includes BPC/BAM generated determinations (see exclusions below).


`	

Excludes overpayment notices on uncontested earnings detected by any
method (e.g., crossmatch).
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UI REPORTS HANDBOOK NO. 401
ETA 9056 Nonmonetary Determination Quality Review

`
`
E.

Excludes episodic claims programs such as Extended Benefits, Disaster
Unemployment Assistance, and Trade Readjustment Allowances.
Excludes Nonmonetary Redeterminations.

Definitions
Definitions, unless otherwise specified in these instructions, are the same definitions
used for the ETA 207, ETA 9050, ETA 9052 and ETA 9053 reports found elsewhere
in this Handbook and in ETA Handbook 301.

F.

Data Collection Elements
1.	

Identification Number. This is a unique 5 digit number, beginning with 00001,
assigned automatically by the State system to identify the nonmonetary
determinations selected for review by State random selection software. This is
a skeleton data item.

2.

Issue Code. Enter the appropriate issue code. This is a skeleton data item.
Code

Issue

10
20
29

Separations:
Quit
Discharge
Other Separation Issues

30
40
50
60
70
71
72
73
80
81
82
83
84
85
89
90
99

Nonseparations:
Able/Available
Actively Seeking Work (Work Search)
Disqualifying/Deductible Income
Refusal of Suitable Work
Job Service Registration
Failure to Apply/Accept Job Referral
Training
Refusal of Profiling Referral
School Employee
Alien
Athlete
Unemployment Status
Seasonality
Removal of Disqualification
Reporting Requirements/Misrepresentation/Other
Multi-claimant Labor Dispute
Multi-claimant Other
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UI REPORTS HANDBOOK NO. 401
ETA 9056 Nonmonetary Determination Quality Review

For detailed instructions on data collection items 3 through 27, refer to ETA
Handbook 301, UI PERFORMS: Benefits Timeliness and Quality (BTQ) Nonmonetary
Determinations Quality Review, Chapter V.

G.

Checking the Report
The electronic reporting system will edit the data at three different stages: 1) If
possible, each element or field in the report is validated before data entry can
proceed to the next, 2) saving the report for each sampled case invokes the system's
Review-Edit program which compares each element against any conditions it is
required to meet including any arithmetic operations. The program will list any errors
or warnings generated. If possible, the user is advised to resolve "Errors" before
saving the data because 3) prior to transmitting the data, the system will run the same
Review-Edit program.
The transmission function will generate an exception report identifying the case and
the items that failed the edit(s). All cases failing the review edit must be corrected
by the report date to allow transmission to the National Office. All cases must pass
the review edit, otherwise, case transmission will not occur.
Detailed instructions on edit checks can be found in Handbook 402, Unemployment
Insurance Required Reports User’s Manual, Appendix C.

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