Investigative Data Collection Requirements for the Trade Act of 1974 as amended by the Trade Act of 2002

Forms and Documents

Document Name	Status
Form ETA-9042a TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction	New
Form ETA-9042a TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives Form and Instruction	New
Form ETA 9118 Business Confidential Date Request, Non-Production Questionnaire, Customer Survey Form and Instruction	New
Form ETA 9042a ETA-9042a and 9042A-1 Petition, individuals (three or more workers) Form and Instruction	Modified
Supporting Statement all TAA forms 12 12 08.docm Supporting Statement A	2008-12-12

IC Document Collections

IC ID	Document Title	Status
187430	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction	New
187426	TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives Form and Instruction	New
186916	Business Confidential Date Request, Non-Production Questionnaire, Customer Survey Form and Instruction	New
13133	ETA-9042a and 9042A-1 Petition, individuals (three or more workers) Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0342	ICR Reference No: 200810-1205-007
Status: Historical Active	Previous ICR Reference No: 200510-1205-002
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: Investigative Data Collection Requirements for the Trade Act of 1974 as amended by the Trade Act of 2002
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/25/2009
	Date Received in OIRA: 12/22/2008
Terms of Clearance: This information collection request is approved for an abbreviated timeframe to allow DOL to make desired revisions to implement the Recovery Act. Previous versions of these forms remain in effect.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2009	36 Months From Approved	02/28/2009
Responses	13,200	0	3,030
Time Burden (Hours)	24,281	0	27,515
Cost Burden (Dollars)	0	0	0

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Abstract: Section 221 (a) of Title II, Chapter 2 of the Trade Act of 1974, as amended by the Trade Act of 2002, authorizes the Secretary of Labor and the Governor of each State to accept petitions for certification of eligibility to apply for adjustment assistance. The Forms ETA 9042A, Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance, and its Spanish translation, Form 9042a-1, Solicitud De Asistencia Para Ajuste, establish a format that may be used for filing such petitions. The Department’s regulations regarding petitions for worker adjustment assistance may be found at 29 C.F.R. § 90. The Forms ETA 9043a, Business Confidential Data Request, ETA 8562a, Business Confidential Customer Survey and ETA 9118, Business Confidential Non-Production Questionnaire are undertaken in accordance with Sections 222, 223 and 249 of the Trade Act of 1974, as amended by the Trade Act of 2002, are used by the Secretary of Labor to certify groups of workers as eligible to apply for worker trade adjustment assistance.

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Authorizing Statute(s): US Code: 19 USC 2271 Name of Law: Trade Adjustment Assistance 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 39724	07/10/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 78395	12/22/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	ETA-9042a, ETA 9042a-1, ETA-9042a, online version	TAA/ATAA Petition ,   ETA 9042a-1 petition, Spanish language version ,   TAA/ATAA petition, online version
ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	ETA 9042a (on-line), ETA 9042a-1 (Spanish), ETA 9042a	Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance ,   Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance (Spanish) ,   Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance (on-line)
Business Confidential Date Request, Non-Production Questionnaire, Customer Survey	ETA 9043a, ETA 9118, ETA 8562a	ETA Business Non Production Questionnaire ,   Business Confidential Data Request ,   Business Customer Survey
TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	ETA-9042a, ETA 9042a-1, ETA-9042a, online version	Petition ,   TAA/ATAA petition, Spanish version ,   TAA/ATAA petition, online version

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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	13,200	3,030	0	-75	10,245	0
Annual Time Burden (Hours)	24,281	27,515	0	-225	-3,009	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The Form ETA 9118, currently approved under OMB Control No. 1205-0447, was revised and is consolidated in this data collection (an adjustment of +1,943 hours); consequently, OMB Control No. 1205-0447 will be discontinued. The Form ETA 9018, formerly part of this collection, is being discontinued because of non-use (a program change of -225 hours). The remaining reduction in burden hours results from declining activity. Thus, the total net burden hour decrease is 3,234 hours. Despite the reductions, the current calculations correct an inadvertent error; in the previous submission, the total number of respondents and responses was counted as the total number for the ETA-9042a alone. This submission provides the correct, larger number of unique respondents (13,200) for all the forms now included under this OMB control number.

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Annual Cost to Federal Government: $36,498

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: 12/22/2008

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