Prisoner Reentry Initiative (PRI) Reporting System

Forms and Documents

Document Name	Status
Form ETA 9140 Participant Data Collection Burden Form and Instruction	New
Form ETA-9140-A Beneficiary Choice Quarterly Performance Report Form	Modified
Form ETA-9140 Prisoner Reentry Initiative (PRI) Quarterly Reporting System Form	Modified
Justification 1-30-09.pdf Supporting Statement A	2009-01-30
Privacy Act Notification screen from PRI Web.doc Supplementary Document	2009-01-26
prisoner re entry SGA 9 5 08.pdf Supplementary Document	2009-01-14
PRI-Attachment-B-StatRegProv-081505.doc Supplementary Document	2008-09-19
ATTACHMENT-A-PRI-Reporting-Handbook-121505.doc Supplementary Document	2008-09-19

IC Document Collections

IC ID	Document Title	Status
187883	Participant Data Collection Burden Form and Instruction	New
182164	Beneficiary Choice Quarterly Performance Report Form	Modified
13319	Prisoner Reentry Initiative (PRI) Quarterly Reporting System Form	Modified

ICR Details

OMB Control No: 1205-0455	ICR Reference No: 200809-1205-004
Status: Historical Active	Previous ICR Reference No: 200708-1205-006
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: Prisoner Reentry Initiative (PRI) Reporting System
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: 03/10/2009
	Date Received in OIRA: 01/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	6,926	0	6,630
Time Burden (Hours)	17,898	0	15,470
Cost Burden (Dollars)	0	0	0

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Abstract: Respondents are Faith-Based and Community Organizations (FBCO) grantees. Selected standardized information pertaining to customers in Prisoner Reentry Initiative (PRI) programs is collected and reported for the purposes of general program oversight, evaluation and performance assessment. ETA provides all grantees with a PRI management information system (MIS) to use for collecting participant data and for preparing and submitting the required quarterly reports.

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Authorizing Statute(s): PL: Pub.L. 105 - 220 172(d), 185, 189(d) Name of Law: Workforce Investment 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 41126	07/17/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 5680	01/30/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Beneficiary Choice Quarterly Performance Report	ETA-9140-A, ETA-9140-A, ETA-9140-A	Beneficiary Choice Quarterly Performance Report ,   Bene-Choice ,   Bene-Choice
Prisoner Reentry Initiative (PRI) Quarterly Reporting System	ETA-9140, ETA 9140, overview screenshots, ETA - 9140, ETA 9140 screenshots	Prisoner Re-entry Quarterly Performance Report ,   New case screenshots, ETA 9140 ,   Case Overview, PRI, ETA-9140 ,   overview, PRI, ETA-9140
Participant Data Collection Burden	ETA 9140	New Participant Case

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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	6,926	6,630	0	0	296	0
Annual Time Burden (Hours)	17,898	15,470	0	0	2,428	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 increase in burden hours reflects the increased number of grantees.

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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

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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: 01/30/2009

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