Nonmonetary Determination Activity Report

Forms and Documents

Document Name	Status
Form ETA-207 Nonmonetary Determination Activity Report Form and Instruction	Modified
1205-0150 supporting statement 11 24 2010.doc Supporting Statement A	2010-11-30

IC Document Collections

IC ID	Document Title	Status
12993	Nonmonetary Determination Activity Report Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0150	ICR Reference No: 201011-1205-001
Status: Historical Active	Previous ICR Reference No: 200710-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-01-2035-00
Title: Nonmonetary Determination Activity Report
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: 02/27/2011
	Date Received in OIRA: 11/30/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved	02/28/2011
Responses	636	0	224
Time Burden (Hours)	2,544	0	896
Cost Burden (Dollars)	0	0	0

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Abstract: Data are used to monitor the impact of disqualification provisions to measure workload and to appraise the adequacy and effectiveness of state and Federal nonmonetary determination procedures.

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Authorizing Statute(s): PL: Pub.L. 74 - 271 303(a)(6) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 252 Title IV Name of Law: Supplemental Appropriations Act, 2008

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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 53982	09/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 74086	11/30/2010
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Nonmonetary Determination Activity Report	ETA-207	Nonmonetary Determination Activities

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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	636	224	0	412	0	0
Annual Time Burden (Hours)	2,544	896	0	1,648	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no change in the estimated burden necessary to file individual reports, only in the expected number of reports. Because states produce the data for reports largely from existing reporting software and transmit that information to DOL through government provided and mediated computer and software systems, the actual burden involved in reporting is not considerable. The reason for the change in burden is that, due to economic circumstances, ETA now operates three tiers of benefits (regular, Federal-State extended benefits (EB), and the Federal Emergency Unemployment Compensation (EUC 2008)), each of which requires an ETA 207 report. While it is unlikely that economic circumstances will require 636 submissions from each respondent for EB and EUC 2008 reports, uncertainty over future economic conditions and congressional action in extending or expanding benefits has led to the assumption that states may have activity to report for a good portion of the next three years.

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Annual Cost to Federal Government: $0

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]? No

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: 11/30/2010

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