Investigative Data Collection Requirements for the Trade Act of 1974 as amended by the Trade and Globalization Adjustment Assistance Act of 2009

Forms and Documents

Document Name	Status
Form ETA 9042 TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction	Modified
Form ETA 9042a TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives Form and Instruction	Modified
Form ETA 9118 Business Confidential Data Request, Non-Production Questionnaire, Customer Survey Form and Instruction	Unchanged
Form ETA-9042 ETA-9042a and 9042A-1 Petition, individuals (three or more workers) Form and Instruction	Modified
Note_to_Reviewer_1205-0342(20091103).doc Supplementary Document	2010-09-13
Supporting_Statement_for_1205-0342_Oct_31_2009.doc Supporting Statement A	2010-09-13
Justificaiton for Non-Substantive Change, OMB 1205-0342, ETA-9042.doc Justification for No Material/Nonsubstantive Change	2010-09-08

IC Document Collections

IC ID	Document Title	Status
187430	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction	Modified
187426	TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives Form and Instruction	Modified
186916	Business Confidential Data Request, Non-Production Questionnaire, Customer Survey Form and Instruction	Unchanged
13133	ETA-9042a and 9042A-1 Petition, individuals (three or more workers) Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0342	ICR Reference No: 201009-1205-002
Status: Historical Active	Previous ICR Reference No: 200910-1205-005
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: Investigative Data Collection Requirements for the Trade Act of 1974 as amended by the Trade and Globalization Adjustment Assistance Act of 2009
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: 10/01/2010
	Date Received in OIRA: 09/13/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	01/31/2013	01/31/2013
Responses	8,675	0	8,675
Time Burden (Hours)	17,883	0	17,883
Cost Burden (Dollars)	0	0	0

---

Abstract: Section 221 (a) of Title II, Chapter 2 of the Trade Act of 1974, as amended by the Trade and Globalization Adjustment Assistance Act of 2009, authorizes the Secretary of Labor and the Governor of each State to accept petitions for certification of eligibility to apply for adjustment assistance. The Forms ETA 9042A, Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance, and its Spanish translation, Form 9042a-1, Solicitud De Asistencia Para Ajuste, establish a format that may be used for filing such petitions. The Department’s regulations regarding petitions for worker adjustment assistance may be found at 29 C.F.R. § 90. The Forms ETA 9043a, Business Confidential Data Request, ETA 8562a, Business Confidential Customer Survey and ETA 9118, Business Confidential Non-Production Questionnaire are undertaken in accordance with Sections 222, 223 and 249 of the Trade Act of 1974, as amended by the Trade and Globalization Adjustment Assistance Act of 2009, are used by the Secretary of Labor to certify groups of workers as eligible to apply for worker trade adjustment assistance.

---

Authorizing Statute(s): US Code: 19 USC 2271 Name of Law: Trade Adjustment Assistance Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 I800 Name of Law: Trade and Globalization Assistance Act of 2009

---

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:
	74 FR 28955	06/18/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 62601	11/30/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	ETA-9042, ETA 9042a, ETA 9042	Petition For Trade Adjustment Assistance, automated version ,   Petition for Trade Adjustment Assistance ,   Petition for Trade Adjustment Assistance (Spanish version)
Business Confidential Data Request, Non-Production Questionnaire, Customer Survey	ETA 9118, ETA 8562A, ETA 8562b, ETA 9043A, ETA 9043B, 8562a1	Business Confidential Data Request - Controlled Workers ,   Customer Survey ,   Bid Survey ,   CDR Article Changes ,   CDR Service Changes ,   Business Confidential Customer Survey, second tier purchasers of articles
TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	ETA-9042, ETA 9042, ETA 9042a	Petition for Trade Adjustment Assistance (Spanish version) ,   Petition for Trade Adjustment Assistance, Automated Version ,   Petition for Trade Adjustment Assistance
TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	ETA 9042a, ETA-9042, ETA 9042	Petition for Trade Adjustment Assistance ,   Petition for Trade Adjustment Assistance (Spanish version) ,   Petition for Trade Adjustment Assistance, Automated Version

---

ICR Summary 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	8,675	8,675	0	0	0	0
Annual Time Burden (Hours)	17,883	17,883	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: ETA-9043 and ETA-8562 and their variants now result in slightly decreased burden due to reorganization within the forms; the integration of 9043 C results in the elimination of this form. In addition, the combining of 8562a with 8562b created the new 8564a, and combining 8562c with 8562d created 8562b for a total elimination of the previously named 8562b, and 8562c and 8562d - an elimination of three forms, or a reduction of forms from 9 to 6 for the Information Collection for the business confidential date request, non-production questionnaire, and customer survey IC.

---

Annual Cost to Federal Government: $12,322

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

---

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: 09/13/2010

---