YouthBuild Reporting System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9136 YouthBuild Participant Data	Form	Modified	Available
Form ETA-9138 YouthBuild Participant Data Elements	Form	Unchanged	Available
Exhibit 1A Housing Site Description.xls	Supplementary Document	Uploaded 2008-04-24	Available
Non-material change for 1205-0464, YouthBuild grant application requirement.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-04-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180994	YouthBuild Participant Data	Form	Modified
180934	YouthBuild Participant Data Elements	Form	Unchanged

ICR Details

OMB Control No: 1205-0464	ICR Reference No: 200804-1205-006
Status: Historical Active	Previous ICR Reference No: 200706-1205-012
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: YouthBuild Reporting System
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/2008
	Date Received in OIRA: 04/29/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	10/31/2010	10/31/2010
Responses	3,680	0	3,680
Time Burden (Hours)	16,280	0	16,280
Cost Burden (Dollars)	0	0	0

---

Abstract: YouthBuild grantees will collect and report selected standardized information pertaining to customers in YouthBuild programs for the purposes of general program oversight, evaluation, and performance assessment. ETA will provide all grantees with a YouthBuild management information system (MIS) to use for collecting participant data and for preparing and submitting the required quarterly reports.

---

Authorizing Statute(s): PL: Pub.L. 109 - 281 1 et seq Name of Law: YouthBuild Transfer Act
  

Citations for New Statutory Requirements: PL: Pub.L. 109 - 281 1 et seq Name of Law: YouthBuild Transfer Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 9588	03/02/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 45070	08/10/2007
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
YouthBuild Participant Data	ETA-9143, ETA 9136	YouthBuild Performance Report ,   Housing Site Description
YouthBuild Participant Data Elements	ETA-9138	YouthBuild Data Elements

---

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	3,680	3,680	0	0	0	0
Annual Time Burden (Hours)	16,280	16,280	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: This information collection request is occasioned by the statutory transfer of the Youthbuild Grants from the U.S. Department of Health and Human Resources to the U.S. Department of Labor, which has designed a level of information collection which will align with ETA's common measures. The reporting structure features standardized data collection for program participants and quarterly progress and Management Information System (MIS) report formats. All data collection and reporting will be done by YouthBuild grantees.

---

Annual Cost to Federal Government: $285,000

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

---

Common Form ICR:  No

---

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: 04/29/2008

---