Unemployment Compensation for Ex-Servicemembers (UCX) - ETA Handbook 284

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 843 Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	Form and Instruction	Modified	Available
1205-0176 UCX handbook Supporting Statement 12 2012.docx	Supporting Statement A	Uploaded 2012-12-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43788	Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0176	ICR Reference No: 201212-1205-010
Status: Historical Active	Previous ICR Reference No: 200907-1205-011
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Unemployment Compensation for Ex-Servicemembers (UCX) - ETA Handbook 284
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: 03/12/2013
	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	6,172	0	5,297
Time Burden (Hours)	103	0	88
Cost Burden (Dollars)	0	0	0

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Abstract: Federal Law (5 U.S.C. 8521 et seq.) provides unemployment insurance protection, to former members of the Armed Forces (ex-servicemembers) and is referred to in abbreviated form as

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Authorizing Statute(s): US Code: 5 USC 8523 Name of Law: Unemployment Compensation for Ex-Servicemembers
  

Citations for New Statutory Requirements: None

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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 57595	09/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 6134	01/29/2013
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Unemployment Compensation for Ex-servicemembers (UCX) - ETA Handbook 284	ETA 841, ETA 843	Request for Military Documentation for UCX ,   Request for Determination of Federal Military Service and Wages UCX

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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	6,172	5,297	0	0	875	0
Annual Time Burden (Hours)	103	88	0	0	15	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 burden that the electronic transactions in this "collection" put on respondents is directly related to the number of transactions conducted within the system. As a result, increases and decreases in unemployment claims resulting from changes in the economic cycle and with military deployments will affect burden over the course of years. Previous submissions were based on a lower level of claims filings attributable to better economic conditions and fewer military decommissions. Since that time, the level of weekly UCX filings has been steadily increasing. There has been no change in the way UCX claims are processed or administered since 2009, so the change in burden is a direct function of the level of claims in the system.

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Annual Cost to Federal Government: $37,357

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: 01/29/2013

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