Reemployment and Eligibility Assessment Program

Forms and Documents

Document Name	Status
Form ETA 9128U EUC08 Reemployment Program Form and Instruction	New
Form ETA 9128 Reemployment and Eligibility Assessment Program Form and Instruction	Modified
revision with emergency request 1205-0456 3 13 2012 (1).doc Supporting Statement A	2012-04-18

IC Document Collections

IC ID	Document Title	Status
201540	EUC08 Reemployment Program Form and Instruction	New
13320	Reemployment and Eligibility Assessment Program Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0456	ICR Reference No: 201203-1205-007
Status: Historical Active	Previous ICR Reference No: 200902-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Reemployment and Eligibility Assessment Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/20/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/20/2012
	Date Received in OIRA: 03/15/2012
Terms of Clearance: These information collection requirements are approved for 6 months under the emergency processing procedures of the PRA. DOL will immediately begin the process, including the required public comment periods to obtain approval under the normal PRA process.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	6 Months From Approved	05/31/2012
Responses	540	0	144
Time Burden (Hours)	270	0	36
Cost Burden (Dollars)	0	0	0

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Abstract: The Social Security Act authorizes DOL to prescribe standard definitions, methods and procedures, and reporting requirements for the collection of information on benefit payment accuracy and the reemployment of UI benefit recipients to ensure the verification of these data. The ETA 9060 report provides a count of the claimants who were referred to Reemployment and Eligibility Assessment (REA) program and a count of those who completed the services. The ETA 9061 report provides for the subsequent collection of outcome data, which assists in monitoring the success of the REA program. The ETA 9128U implements provisions of the Middle Class Tax Relief and Job Creation Act of 2012.

Emergency Justfication: The Middle Class Tax Relief and Job Creation Act of 2012, enacted March 2, 2012, requires that reemployment interventions to claimants in the Emergency Unemployment Compensation Program of 2008 (EUC08), contained in this information collection request, be implemented immediately or as soon as practicable. Thus this is a revision (a form is being added to the currently approved information collection).

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
   PL: Pub.L. 112 - 96 2142 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012.
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 96 2142 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012.

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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:
	77 FR 2088	01/13/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
EUC08 Reemployment Program	ETA 9128U	Section IV Special Programs
Reemployment and Eligibility Assessment Program	ETA 9129, ETA 9128	Section IV Special Programs ,   Section IV Special Programs

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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	540	144	212	0	184	0
Annual Time Burden (Hours)	270	36	106	0	128	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: The new statute, PL 112-96, Section 2142, requires an added information collection instrument. In addition, the time for filling out each existing form was revised upward from .25 hours to .5 hours, and the states participating in the regular program changed from 18 to 41 because of added funding.

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Annual Cost to Federal Government: $49,308

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: 03/15/2012

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