Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA-9107 Project Operator Data Form	Form	Unchanged	Available
Form ETA-9106 Project Synopsis Form	Form	Unchanged	Available
Form ETA-9105 Employer Data Form	Form	Unchanged	Available
Form ETA-9104 Quarterly Report Form	Form	Unchanged	Available
Form ETA-9103-4 PLANNING FORM 4 Trade Health Insurance Coverage Assistance	Form	Unchanged	Available
Form ETA 9103-3 PLANNING FORM 3 Trade-WIA Dual Enrollment	Form	Unchanged	Available
Form ETA 9103-2b PLANNING FORM 2 Disaster Projects Workforce Development Services	Form	Unchanged	Available
Form ETA 9103-2a PLANNING FORM 2 Disaster Projects Temporary Job Creation	Form	Unchanged	Available
Form ETA 9103-1 PLANNING FORM 1- Regular Projects	Form	Unchanged	Available
Justification for Non-Substantive Change Review post PRA meeting 4 23 09.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-04-23	Available
NEG stimulus TEGL post OMB PRA 042309 - no track.doc	Supplementary Document	Uploaded 2009-04-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	Project Operator Data Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	Project Synopsis Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	Employer Data Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	Quarterly Report Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	PLANNING FORM 4 Trade Health Insurance Coverage Assistance
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	PLANNING FORM 3 Trade-WIA Dual Enrollment
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	PLANNING FORM 2 Disaster Projects Workforce Development Services
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	PLANNING FORM 2 Disaster Projects Temporary Job Creation
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Unchanged	PLANNING FORM 1- Regular Projects

ICR Details

OMB Control No: 1205-0439	ICR Reference No: 200904-1205-010
Status: Historical Active	Previous ICR Reference No: 200701-1205-004
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures
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: 04/30/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2010	03/31/2010	03/31/2010
Responses	1,565	0	1,565
Time Burden (Hours)	1,096	0	1,096
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection explicates policies and application and reporting procedures for states and local entities to enable them to access funds for National Emergency Grant (NEG) programs. NEGs are discretionary grants intended to complement the resources and service capacity at the state and local area levels by providing supplemental funding for workforce development and employment services and other adjustment assistance for dislocated workers and other eligible individuals as defined in sections 101, 134 and 173 of WIA and in the Trade Act as amended by the Trade and Globalization Assistance Act of 2009.

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Authorizing Statute(s): PL: Pub.L. 107 - 210 113, 114, 203 Name of Law: Trade Adjustment Assistance Reform Act of 2002
   PL: Pub.L. 105 - 220 101, 134, 174 Name of Law: Workforce Investment Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 Div A, Title VIII (4) Name of Law: American Recovery and Reinvestment Act of 2009

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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:
	71 FR 221	11/16/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 19	01/30/2007
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
Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	ETA 9103-2a, ETA 9103-2b, ETA 9103-1, ETA 9103-3, ETA-9103-4, ETA-9104, ETA-9105, ETA-9106, ETA-9107	PLANNING FORM 1- Regular Projects ,   PLANNING FORM 2 Disaster Projects Temporary Job Creation ,   PLANNING FORM 2 Disaster Projects Workforce Development Services ,   PLANNING FORM 3 Trade-WIA Dual Enrollment ,   PLANNING FORM 4 Trade Health Insurance Coverage Assistance ,   Quarterly Report Form ,   Employer Data Form ,   Project Synopsis Form ,   Project Operator Data Form

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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	1,565	1,565	0	0	0	0
Annual Time Burden (Hours)	1,096	1,096	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:

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Annual Cost to Federal Government: $780,000

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)? Yes

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: 04/23/2009

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