Alien Claims Activity Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9016 Report on Alien Claims Activity	Form and Instruction	Modified	Available
1205-0268 supporting statement June 2014(OCIO comments 20140825) Tracked_Chges_OMB_OCIO_TR_10-20-14 .doc	Supplementary Document	Uploaded 2014-10-24	Available
1205-0268_SSA_Final_ 2014-11-03.doc	Supporting Statement A	Uploaded 2014-11-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13083	Report on Alien Claims Activity	Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0268	ICR Reference No: 201404-1205-005
Status: Historical Active	Previous ICR Reference No: 201105-1205-005
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-01-2035-00
Title: Alien Claims Activity Report
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 with change	Conclusion Date: 11/12/2014
	Date Received in OIRA: 09/22/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	11/30/2014
Responses	212	0	212
Time Burden (Hours)	212	0	212
Cost Burden (Dollars)	0	0	0

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Abstract: This report allows assessment of cost efficiency of the USCIS verification system (SAVE) and determination of the national impact of the Immigration Reform and Control Act on the Unemployment Insurance System.

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
  

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:
	79 FR 15612	03/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 56605	09/22/2014
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
Report on Alien Claims Activity	ETA 9016	Alien Claims Activity Report

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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	212	212	0	0	0	0
Annual Time Burden (Hours)	212	212	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:

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Annual Cost to Federal Government: $28,010

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: 09/22/2014

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