Attestations by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports

Forms and Documents

Document Name	Status
Form ETA 9033A Employers' Attestations to Use Alien Crew Members for Longshore Activities in the State of Alaska Form and Instruction	New
Form ETA 9033 Attestations by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports Form and Instruction	Modified
ETA 9033-9033A supporting statement final.doc Supporting Statement A	2013-08-27

IC Document Collections

IC ID	Document Title	Status
208398	Employers' Attestations to Use Alien Crew Members for Longshore Activities in the State of Alaska Form and Instruction	New
13093	Attestations by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0309	ICR Reference No: 201306-1205-008
Status: Historical Active	Previous ICR Reference No: 201007-1205-006
Agency/Subagency: DOL/ETA	Agency Tracking No: Foreign Labor
Title: Attestations by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports
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: 12/27/2013
	Date Received in OIRA: 10/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	7	0	1
Time Burden (Hours)	23	0	4
Cost Burden (Dollars)	0	0	0

---

Abstract: The information provided on this form by employers seeking to use alien crewmembers to perform longshore activities in U.S. ports will permit the Department to meet federal responsibilities for program administration, management, and oversight. The Employment and Training Administration (ETA) is requesting extension of forms ETA-9033, Attestation by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports (OMB Control Number 1205-0309) and Form ETA-9033A, Attestation by Employers Using Alien Crewmembers for Longshore Activities in the State of Alaska (currently under OMB Control Number 1205-0352) used in the D-1 temporary crewmember certification program, which are set to expire on October 31, 2013 and October 31, 2014 respectively. Also in this extension request, ETA is proposing to merge the two collections into 1205-0309 for purposes of efficiency and clarity for both the Federal Government and the public. Minimal changes to both forms have been made to enhance the usability of the information.

---

Authorizing Statute(s): US Code: 8 USC 1288 Name of Law: Immigration and Nationality 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:
	78 FR 48463	08/08/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 64981	10/30/2013
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Attestations by Employers Using Alien Crewmembers for Longshore Activities in U.S. Ports	ETA 9033	Employers' Attestations to Use Alien Crew Members for Longshore Activities
Employers' Attestations to Use Alien Crew Members for Longshore Activities in the State of Alaska	ETA 9033A	Employers' Attestations to Use Alien Crewmembers for Longshore Activities in the State of Alaska

---

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	7	1	0	6	0	0
Annual Time Burden (Hours)	23	4	0	19	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: The increase in burden for 1205-0309 is due to the merger of two OMB control numbers into 1205-0309. However, if looking at 1205-0352 alone, there was a decrease in burden from the time of the previous extension request in 2011 because of a decrease in use of the D-1 program in U.S. Ports.

---

Annual Cost to Federal Government: $266

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

---

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: 10/30/2013

---