Petition Requirements and Investigative Data Collection: Trade Act of 1974, as amended

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9042 Petition	Form and Instruction	Modified	Available
Form ETA 9042 A -1 Petition, online	Form and Instruction	Modified	Available
Form ETA 9042A TAA Petition, in Spanish	Form and Instruction	Modified	Available
Form ETA 9042 A Petition - in Spanish	Form and Instruction	Modified	Available
Form ETA 9042 Petition	Form and Instruction	Modified	Available
Form ETA 9042 A-1 Petition, online	Form and Instruction	Modified	Available
Form ETA 8562b Business Bid Survey	Form and Instruction	Modified	Available
Form ETA 9118 Business Information Request	Form and Instruction	Modified	Available
Form ETA 9043b BUsiness Data Request - Service (2)	Form and Instruction	Modified	Available
Form ETA 9043a Business Data Request - Article (2a)	Form and Instruction	Modified	Available
Form ETA 8562a1 Business Second Tier Customer Survey	Form and Instruction	Modified	Available
Form ETA 8562a Business Customer Survey	Form and Instruction	Modified	Available
Form ETA 9042a-1 Petition for Trade Adjustment Assistance	Form and Instruction	Modified	Available
Form ETA 9042A Petition for Trade Adjustment Assistance (in Spanish)	Form and Instruction	Modified	Available
Form ETA 9042 Petition for Trade Adjustment Assistance	Form and Instruction	Modified	Available
Supporting Statement for 1205-0342 January 2013.doc	Supporting Statement A	Uploaded 2013-01-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187430	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	Form and Instruction	Modified	Petition
187430	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	Form and Instruction	Modified	Petition, online
187430	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	Form and Instruction	Modified	TAA Petition, in Spanish
187426	TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	Form and Instruction	Modified	Petition - in Spanish
187426	TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	Form and Instruction	Modified	Petition
187426	TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	Form and Instruction	Modified	Petition, online
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	Business Bid Survey
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	Business Information Request
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	BUsiness Data Request - Service (2)
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	Business Data Request - Article (2a)
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	Business Second Tier Customer Survey
186916	Business Data Request, Non-Production Questionnaire and Customer Survey	Form and Instruction	Modified	Business Customer Survey
13133	ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	Form and Instruction	Modified	Petition for Trade Adjustment Assistance
13133	ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	Form and Instruction	Modified	Petition for Trade Adjustment Assistance (in Spanish)
13133	ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	Form and Instruction	Modified	Petition for Trade Adjustment Assistance

ICR Details

OMB Control No: 1205-0342	ICR Reference No: 201209-1205-002
Status: Historical Active	Previous ICR Reference No: 201111-1205-009
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: Petition Requirements and Investigative Data Collection: Trade Act of 1974, as amended
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/19/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/29/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved	03/31/2013
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. Versions of ETA 9042, Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance, 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 8562a, ETA 8562 a-1, and 8562 b, ETA 9118, ETA 9043a and ETA 9043b are all 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. They 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: 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:
	77 FR 54929	09/06/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 6133	01/29/2013
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Business Data Request, Non-Production Questionnaire and Customer Survey	ETA 8562a, ETA 8562a1, ETA 9118, ETA 9043a, ETA 9043b, ETA 8562b	Business Customer Survey ,   Business Second Tier Customer Survey ,   Business Data Request - Article (2a) ,   BUsiness Data Request - Service (2) ,   Business Information Request ,   Business Bid Survey
ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	ETA 9042A, ETA 9042a-1, ETA 9042	Petition for Trade Adjustment Assistance ,   Petition for Trade Adjustment Assistance (in Spanish) ,   Petition for Trade Adjustment Assistance
TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	ETA 9042, ETA 9042 A -1, ETA 9042A	Petition, online ,   Petition ,   TAA Petition, in Spanish
TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	ETA 9042, ETA 9042 A, ETA 9042 A-1	Petition, online ,   Petition ,   Petition - in Spanish

---

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	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:

---

Annual Cost to Federal Government: $11,963

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)? 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: 01/29/2013

---