YouthBuild Reporting System

Forms and Documents

Document Name	Status
Form ETA-9138 Participant Data, Participant Burden Form	Modified
Form ETA 9143 Part A Prospective Applicants' Work Site Description A&B Form	Modified
Form ETA-9138 YouthBuild Participant Data, Grantee Burden Form and Instruction	Modified
Form ETA 9136 YouthBuild Grantee Quarterly Reports and Housing Site Report Form and Instruction	Modified
1205-0464 YB-ICR-Supporting-Statement 7-13-15.docx Supporting Statement A	2015-07-16

IC Document Collections

IC ID	Document Title	Status
201498	Participant Data, Participant Burden Form	Modified
200351	Prospective Applicants' Work Site Description A&B Form	Modified
180994	YouthBuild Participant Data, Grantee Burden Form and Instruction	Modified
180934	YouthBuild Grantee Quarterly Reports and Housing Site Report Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0464	ICR Reference No: 201409-1205-004
Status: Historical Active	Previous ICR Reference No: 201107-1205-002
Agency/Subagency: DOL/ETA	Agency Tracking No: EBSS
Title: YouthBuild Reporting System
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: 08/18/2015
	Date Received in OIRA: 05/29/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	14,425	0	14,460
Time Burden (Hours)	36,813	0	39,178
Cost Burden (Dollars)	0	0	0

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Abstract: Per the YouthBuild Transfer Act as well as Workforce Investment Act and its replacement Workforce Innovation and Opportunity Act and regulations 20 CFR part 672, YouthBuild grantees collect and report selected standardized information pertaining to customers in YouthBuild programs for the purposes of general program oversight, evaluation, and performance assessment. ETA provides all grantees with a YouthBuild management information system to use for collecting participant data and for preparing and submitting the required quarterly reports.

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Authorizing Statute(s): PL: Pub.L. 109 - 281 1 et seq. Name of Law: YouthBuild Transfer Act
   PL: Pub.L. 105 - 220 185, 189 Name of Law: Workforce Investment Act
   PL: Pub.L. 113 - 128 185, 189 Name of Law: Workforce Innovation and Opportunity 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:
	80 FR 16029	03/26/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 30493	05/28/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Prospective Applicants' Work Site Description A&B	ETA 9143 Part A, ETA 9143 Part B	Part A Work Site Form with Annual Housing Census ,   Part B Work Site Form with Annual Housing Census
YouthBuild Participant Data, Grantee Burden	ETA-9138	YouthBuild Data Elements
YouthBuild Grantee Quarterly Reports and Housing Site Report	ETA 9143 Part B, ETA 9143, Part C - Continuation, ETA 9136, ETA 9143, Part C, ETA 9143 Part A	MIS System, Quarterly Reports ,   Annual Housing Census ,   Work Site Description Form with Annual Housing Census ,   Individual Work Site Project Estimate ,   Work Site Description Form with Annual Housing Census - Continuation
Participant Data, Participant Burden	ETA-9138	YouthBuild Data Elements

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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	14,425	14,460	0	0	-35	0
Annual Time Burden (Hours)	36,813	39,178	0	0	-2,365	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 decrease in burden is due to reduction in the number of grantees in this program, from 220 three years ago to 200, based on current annual appropriations.

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Annual Cost to Federal Government: $285,000

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: 05/29/2015

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