Reemployment and Eligibility Assessment Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA-9128 Reemployment and Eligibility Assessment Program	Form and Instruction	Modified	Available
Justification 2009 3 6 09.doc	Supporting Statement A	Uploaded 2009-03-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13320	Reemployment and Eligibility Assessment Program	Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0456	ICR Reference No: 200902-1205-001
Status: Historical Active	Previous ICR Reference No: 200602-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Reemployment and Eligibility Assessment Program
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: 05/11/2009
	Date Received in OIRA: 03/27/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	05/31/2009
Responses	144	0	424
Time Burden (Hours)	36	0	212
Cost Burden (Dollars)	0	0	0

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Abstract: The Social Security Act authorizes DOL to prescribe standard definitions, methods and procedures, and reporting requirements for the collection of information on benefit payment accuracy and the reemployment of UI benefit recipients to ensure the verification of these data. The ETA 9060 report provides a count of the claimants who were referred to Reemployment and Eligibility Assessment (REA)program and a count of those who completed the services. The ETA 9061 report provides for the subsequent collection of outcome data, which assists in monitoring the success of the REA program.

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security 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 73957	12/04/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 13475	03/27/2009
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Reemployment and Eligibility Assessment Program	ETA 9129, ETA-9128	Reemployment and Eligibility Assessment Activities ,   Reemployment and Eligibility Assessments Outcomes

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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	144	424	0	0	-280	0
Annual Time Burden (Hours)	36	212	0	0	-176	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 reduction in burden is due to the adjustment in the number of participants, given initial funding issues and also given the program's actual experience over the last three years in the number of states participating in this initiative. Currently the program has 18 states participating rather than the 53 originally envisioned.

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Annual Cost to Federal Government: $24,654

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)? No

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: 03/27/2009

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