Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed

Forms and Documents

Document Name	Status
Form ETA 539 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction	Modified
1205-0028 Final_Supporting Statement.doc Supporting Statement A	2015-08-28

IC Document Collections

IC ID	Document Title	Status
43784	Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0028	ICR Reference No: 201508-1205-005
Status: Historical Active	Previous ICR Reference No: 201207-1205-002
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed
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: 10/06/2015
	Date Received in OIRA: 09/02/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	36 Months From Approved	10/31/2015
Responses	5,512	0	5,512
Time Burden (Hours)	3,675	0	3,675
Cost Burden (Dollars)	0	0	0

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Abstract: Data are necessary for the determination of the beginning, continuance, or termination of an Extended Benefit (EB) period in any State, which determine the EB trigger rate. Also, data on initial and continued claims are used to help determine economic indicators.

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
   PL: Pub.L. 91 - 373 203 Name of Law: Federal-State Extended Unemployment Compensation Act of 1970
  

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 16458	03/27/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 52984	09/02/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed	ETA 538, ETA 539	Claimant Activity ,   Section 1 Claimant Activity

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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	5,512	5,512	0	0	0	0
Annual Time Burden (Hours)	3,675	3,675	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: $26,367

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: 09/02/2015

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