Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska

Forms and Documents

Document Name	Status
Form ETA 9033A Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska Form and Instruction	Modified
supporting statement 1205-0132.pdf Supporting Statement A	2008-06-12

IC Document Collections

IC ID	Document Title	Status
13141	Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0352	ICR Reference No: 200802-1205-004
Status: Historical Active	Previous ICR Reference No: 200506-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-02-01-2045-00
Title: Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2008
	Date Received in OIRA: 07/08/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	09/30/2008
Responses	20	0	100
Time Burden (Hours)	60	0	300
Cost Burden (Dollars)	0	0	0

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Abstract: The information provided on this form by employers seeking to use alien crewmembers to perform longshore activities in the State of Alaska will permit the Department to meet federal responsibilities for program administration, management, and oversight.

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Authorizing Statute(s): US Code: 8 USC 1288 Name of Law: Immigration and Nationality 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:
	73 FR 12219	03/06/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 12008	07/08/2008
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska	ETA 9033A	Attestations by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska

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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	20	100	0	0	-80	0
Annual Time Burden (Hours)	60	300	0	0	-240	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: ETA has decreased its burden request because the number of applications has decreased during the last three years.

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Annual Cost to Federal Government: $1,550

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: 07/08/2008

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