Migrant and Seasonal Farmworker (MSFW) Monitoring Report and One-Stop Career Center Complaint/Referral Record

Forms and Documents

Document Name	Status
Form ETA-5148 Program Monitoring Form and Instruction	New
Form ETA 8429 Job Service Complaint Form Form and Instruction	Modified
1205-0039 supporting statement 12 19 08.pdf Supporting Statement A	2008-12-19
access to LEARS screen shots, test site.doc Supplementary Document	2008-12-01

IC Document Collections

IC ID	Document Title	Status
186595	Program Monitoring Form and Instruction	New
12963	Job Service Complaint Form Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0039	ICR Reference No: 200809-1205-002
Status: Historical Active	Previous ICR Reference No: 200509-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS: 012-05-01-02-02-2025-00.
Title: Migrant and Seasonal Farmworker (MSFW) Monitoring Report and One-Stop Career Center Complaint/Referral Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/12/2009
	Date Received in OIRA: 01/09/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved	02/28/2009
Responses	2,350	0	2,348
Time Burden (Hours)	1,566	0	1,566
Cost Burden (Dollars)	0	0	0

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Abstract: These forms are necessary as part of federal regulations at 20 CFR Parts 651, 653 and 658. ETA 5148 collects data which are primarily used to monitor and measure the extent and effectiveness of State Workforce Agencies service delivery to migrant and seasonal farm workers (MSFWs). ETA 8429, the One-Stop Career Center Compliance Referral Record, is used to collect and document complaints filed by MSFWs and non-MSFWs regarding service delivery.

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Authorizing Statute(s): US Code: 29 USC 20 et seq Name of Law: Wagner Peyser Act as amended
  

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 37499	07/01/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 923	01/09/2009
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Job Service Complaint Form	ETA 8429	One Stop Career Center Complaint/Referral Record, MSFW
Program Monitoring	ETA-5148	Labor Exchange Agricultural Reporting System

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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	2,350	2,348	0	0	2	0
Annual Time Burden (Hours)	1,566	1,566	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: The two added annual responses correct an adjustment in the Agency Estimate in the previous submission.

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Annual Cost to Federal Government: $9,394

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: 01/09/2009

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