Unemployment Insurance (UI) State Quality Service Plan (SQSP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Justification for Non Subs Change 1205-0010 ETA 5159sg final.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2009-11-16	Available
UIPL 23-08 Change 5 EUC Tiers III IV.doc	Supplementary Document	Uploaded 2009-11-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12980	Unemployment Insurance (UI) State Quality Service Plan (SQSP)	Other-Table of Contents	Unchanged

ICR Details

OMB Control No: 1205-0132	ICR Reference No: 200911-1205-008
Status: Historical Active	Previous ICR Reference No: 200905-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-01-2035-00
Title: Unemployment Insurance (UI) State Quality Service Plan (SQSP)
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: 11/17/2009
	Date Received in OIRA: 11/17/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	08/31/2011	08/31/2011
Responses	583	0	583
Time Burden (Hours)	1,810	0	1,810
Cost Burden (Dollars)	0	0	0

---

Abstract: The State Quality Service Plan is one of several implementing documents for UI PERFORMS, that allows for an exchange of information between the Federal and State partners to enhance the ability of the program to reflect the joint commitment to continuous improvement and client centered services.

---

Authorizing Statute(s): US Code: 42 USC 503(a)(b) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 18302	04/03/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 37985	07/02/2008
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Unemployment Insurance (UI) State Quality Service Plan (SQSP)	UI-III, Appendix III, 1205-0132, ETA-8623A	State Plan Worksheet, UI-1 ,   State Plan Worksheet ,   Performance Measures

---

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	583	583	0	0	0	0
Annual Time Burden (Hours)	1,810	1,810	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: There is no change in the instruments used to report information in this collection. The burden hours attributed to the ETA 9130 report (formerly the S.F. 269), which was included previously, are now accounted for under ETA's collection, 1205-0461. Therefore an adjustment has been made so that they are no longer included in the hour burden for this collection.

---

Annual Cost to Federal Government: $168,246

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

---

Common Form ICR:  No

---

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: 11/17/2009

---