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-9103-4 Planning Form (Health Care Tax Credit)	Form	Modified	Available
Form ETA-9107 Project Operator Data	Form	Modified	Available
Form ETA-9106 ETA-Project Synopsis	Form	Modified	Available
Form ETA-9105 Enployer Data Form	Form	Modified	Available
Form ETA-9104 Quarterly Performance Report	Form	Modified	Available
Form ETA-9103-3 Planning Form (Dual Enrollment)	Form	Modified	Available
Form ETA-9103-2b Planning Form (Disaster-Workforce Development Systems	Form	Modified	Available
Form ETA-9103-2a Planning Form (Disaster - Temporary Jobs	Form	Modified	Available
Form ETA-9130-1 Planning FOrm, Regular	Form	Modified	Available
1205-0439SupportStatement05112010 ChartRvs0514.pdf	Supporting Statement A	Uploaded 2010-05-26	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	Modified	Planning Form (Health Care Tax Credit)
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Project Operator Data
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	ETA-Project Synopsis
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Enployer Data Form
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Quarterly Performance Report
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Dual Enrollment)
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Disaster-Workforce Development Systems
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Disaster - Temporary Jobs
13302	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning FOrm, Regular

ICR Details

OMB Control No: 1205-0439	ICR Reference No: 200911-1205-003
Status: Historical Active	Previous ICR Reference No: 200904-1205-010
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures
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: 07/21/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/08/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	36 Months From Approved	07/31/2010
Responses	1,535	0	1,565
Time Burden (Hours)	1,031	0	1,096
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection contains 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:
	75 FR 5346	02/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 32507	06/08/2010
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
Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	ETA-9104, ETA-9103-3, ETA-9105, ETA-9106, ETA-9103-2a, ETA-9130-1, ETA-9103-4, ETA-9107, ETA-9103-2b	Planning FOrm, Regular ,   Planning Form (Disaster - Temporary Jobs ,   Planning Form (Disaster-Workforce Development Systems ,   Planning Form (Dual Enrollment) ,   Quarterly Performance Report ,   Enployer Data Form ,   ETA-Project Synopsis ,   Project Operator Data ,   Planning Form (Health Care Tax Credit)

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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	1,535	1,565	0	0	-30	0
Annual Time Burden (Hours)	1,031	1,096	0	0	-65	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: There were no program changes; the slight adjustment in burden hours and responses is due to ETA's removal of responses and hours attributed to the SF 424, which was inadvertently included in the previous submission. This slight decrease was greater than a minor uptick in the currently estimated submissions of a few of the forms.

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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]? No

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: 06/08/2010

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