Form ETA 9129 ETA 9129 Section IV Special Programs

UI REPORTS HANDBOOK NO. 401

ETA 9129 Reemployment and Eligibility Assessments Outcomes

CONTENTS

A. Facsimile of Form IV-9-2

B. Purpose IV-9-4

C. Due Date and Transmittal IV-9-4

D. General Reporting Instructions IV-9-4

E. Item by Item Instructions IV-9-5

1. Claimants in a State-defined Comparison Group IV-9-5

a. Number Who Established a UI Benefit Year IV-9-5

b. Total Weeks Compensated IV-9-5

c. Total Benefits Paid IV-9-5

d. Number of Disqualifications IV-9-5

e. Number Exhausting Benefits. IV-9-5

f. Number Reemployed IV-9-5

g. Average Weeks to Date of Reemployment IV-8-5

h. Amount of Overpayments Established IV-9-6

2. Claimants Who Were Scheduled for at Least One REA

During the Benefit Year IV-9-6

a. Number Who Established a UI Benefit Year IV-9-6

b. Total Weeks Compensated IV-9-6

c. Total Benefits Paid IV-9-6

d. Number of Disqualifications IV-9-6

e. Number Exhausting Benefits. IV-9-6

f. Number Reemployed IV-9-6

g. Average Weeks to Date of Reemployment IV-8-6

h. Amount of Overpayments Established IV-9-6

A. Facsimile of Form

ETA 9129 REEMPLOYMENT AND ELIGIBILITY ASSESSMENT OUTCOMES

STATE:

REGION:

REPORT FOR PERIOD ENDING:

1. Claimants in the State-Defined Comparison Group
a.	Number Who Established a UI Benefit Year in the Report Quarter
b.	Total Weeks Compensated
c.	Total Benefits Paid
d.	Number of Disqualifications
e.	Number Exhausting Benefits
f.	Number Reemployed
g.	Average Weeks to Date of Reemployment
h.	Amount of Overpayments Established
2. Claimants Scheduled for at Least one REA During the Benefit Year
a.	Number Who Established a UI Benefit Year in the Report Quarter
b.	Total Weeks Compensated
c.	Total Benefits Paid
d.	Number of Disqualifications
e.	Number Exhausting
f.	Number Reemployed
g.	Average Weeks to Date of Reemployment
h.	Amount of Overpayments Established

Comments:

O M B No.: 1205-0456 OMB Expiration Date: 10/31/2012   Estimated Average Response Time: 30 Minutes
O M B Burden Statement: These reporting instructions have been approved under the Paperwork reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a valid OMB control number. Public reporting burden for this collection of information includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Submission is required to obtain or retain benefits under SSA 303(a)(6). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security, Room S-4231, 200 Constitution Ave., NW, Washington, DC, 20210.

B. Purpose

The REA initiative provides funds to conduct in-person assessments in the One-Stop facilities which include: a UI continued eligibility review, the provision of labor market information, development of an individualized work-search plan, and referral to reemployment services and/or training, as appropriate. Assessments are to be provided to selected claimants who do not have a definite return-to-work date. States develop a specific method of selecting REA claimants and of providing a comparison group of claimants who do not receive an REA.

The ETA 9129 report provides quarterly information on the outcomes of Reemployment and Eligibility Assessment (REA) activities for claimants who are selected for REA activities and on a comparison group that has been identified by the State Workforce Agency. REAs provide in-person service in the One Stop Career Center for applicants including the development of an individualized work search plan, appropriate labor market information (LMI) and referral to reemployment services as appropriate. The data on this report allows for evaluation and monitoring of the REA initiative.

C. Due Date and Transmittal

The electronically submitted report is due in the ETA National Office on the 20th of the fourteenth month following the quarter in which the claimants started their benefit years.

Examples of time frames are given below:

Benefit Year Beginning Quarter	Due Date
Jan – Mar 2006	May 20, 2007
Apr – Jun 2006	Aug 20, 2007
Jul – Sep 2006	Nov 20, 2007
Oct – Dec 2006	Feb 20, 2008

D. General Reporting Instructions

Data on this report deals with individuals in the regular Unemployment Insurance program (this includes State, UCFE, and UCX) who are selected for an REA and similar data is collected for individuals in a control group for purposes of comparison.

E. Item by Item Instructions

The ETA 9129 Report provides data about two distinct groups. The first is a state-defined comparison group of claimants who were not selected for an REA and the second is the group of claimants who were scheduled for an REA. This information will be used to compare the outcomes between those who were scheduled for an REA and those who were not scheduled for an REA.

1. Claimants in a state-defined comparison group. The number of claimants in the universe of claimants who were in the target group from which REA participants could have been selected for an REA but were not selected. The claimants in this group should have characteristics as similar as possible to the selected REA participation group.

1. Number of claimants who filed a claim and established a UI benefit year in the report quarter. Enter the number of claimants in the state-defined comparison group who filed a claim and established a benefit year during the report quarter.

2. Total weeks compensated. Enter the number weeks of benefits paid for those claimants reported in item 1.a. during their respective benefit years. This number includes weeks of partial payments.

3. Total benefits paid. Enter the total dollar amount of benefits paid to those claimants reported in item 1.a. during their respective benefit years. This number includes weeks of partial payments.

4. Number of disqualifications for claimants in the group. Enter total number of disqualifications for those claimants reported in item 1.a. This may include multiple disqualifications.

5. Number of claimants exhausting benefits. Enter the number of claimants reported in item 1.a. who exhausted benefits.

6. Number of claimants reemployed within the benefit year, based on the National or State Directories of New Hires or other sources. Enter the number of claimants reported in item 1.a. who became reemployed within the benefit year, based on information from the National or State Directories of New Hire or other sources.

7. Average weeks to date of reemployment for those who became reemployed during the benefit year. Enter the average weeks from the date of the initial claim to the date of reemployment.

8. Amount of overpayments established. The dollar amount of overpayments established during the benefit year.

2. Claimants who were scheduled for at least one REA during the benefit year. The number of claimants in the universe of claimants who were scheduled for at least one REA during the benefit years.

a. Number of claimants who filed a claim and established a UI benefit year in the report quarter. Enter the number of claimants who were scheduled for at least one REA in the benefit year and who filed a claim and established a UI benefit year during the report quarter.

b. Total weeks compensated. The sum of weeks of benefits paid for those claimants reported in item 2.a. during their respective benefit years. This number includes weeks of partial payments.

c. Total benefits paid. The total dollar amount of benefits paid to those claimants reported in item 2.a. during their respective benefit years. This number includes weeks of partial payments.

d. Number of disqualifications for claimants in the group. This may include multiple disqualifications and should include disqualifications not associated with an REA.

e. Number of claimants exhausting benefits. Enter the number of claimants reported in item 2.a. who exhausted benefits.

f. Number of Claimant Reemployed. Number of claimants reemployed within the benefit year, based on the National or State Directories of New Hires or other sources.

g. Average weeks to date of reemployment for those who became reemployed during the benefit year. The average weeks from the date of the initial claim to the date of reemployment.

h. Amount of overpayments established. The dollar amount of overpayments established during the benefit year. This should include overpayments not associated with an REA.

IV-9-6

4/2007