Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA-843 Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	Form and Instruction	Modified	Available
UCX Justification August 10 2009.doc	Supporting Statement A	Uploaded 2009-08-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43788	Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0176	ICR Reference No: 200907-1205-011
Status: Historical Active	Previous ICR Reference No: 200606-1205-008
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284
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: 10/26/2009
	Date Received in OIRA: 08/18/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	5,297	0	5,297
Time Burden (Hours)	88	0	55
Cost Burden (Dollars)	0	0	37,000

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Abstract: Federal Law (5 U.S.C. 8521 et seq.) provides unemployment insurance protection, to former members of the Armed Forces (ex-servicemembers) and is referred to in abbreviated form as "UCX". The forms in the Handbook are used in connection with the provisions of this benefit assistance.

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Authorizing Statute(s): US Code: 5 USC 8521 et seq Name of Law: Unemployment Compensation for Ex-Servicemembers
  

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:
	74 FR 23887	05/21/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41741	08/18/2009
Did the Agency receive public comments on this ICR? No

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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
Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	ETA-843, ETA-841	Request for Military Documentation for Unemployment Compensation Purposes ,   Request for Determination of Federal Military Service and Wages

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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	5,297	5,297	0	0	0	0
Annual Time Burden (Hours)	88	55	0	0	33	0
Annual Cost Burden (Dollars)	0	37,000	0	-37,000	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 burden is adjusted slightly upward because of a mathematical difference in hours/minutes conversion in calculating the same raw numbers, using 53 State Workforce Agencies as the divisor. The cost burden previously reported for respondents was inadvertently included and has been removed from this submission.

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Annual Cost to Federal Government: $37,357

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: 08/18/2009

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