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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 538 Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed	Form and Instruction	Modified	Available
1205-0028 Supporting Statement_Final 3.14.16.doc	Supporting Statement A	Uploaded 2016-03-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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: 201602-1205-001
Status: Historical Active	Previous ICR Reference No: 201508-1205-005
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/21/2016
	Date Received in OIRA: 08/24/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2019	10/31/2018	10/31/2018
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: This data collection is 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. This information collection request is associated with the Final Rule amending 20 CFR 615, Extended Benefits, by implementing the Total Unemployment Rate (TUR) indicator, an optional calculation methodology for triggering on Extended Benefits, in regulations. The Final Rule deletes paragraphs (c) and (d) under the regulatory requirements at § 615.15, pertaining to records and reports State agencies must submit. The reporting instructions for the proper and timely submission of data are provided in ET Handbook No. 401, which governs Unemployment Compensation required reporting.

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Authorizing Statute(s): US Code: 42 USC 303(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:
1205-AB62	Final or interim final rulemaking	81 FR 57764	08/24/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 38747	07/07/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 57764	08/24/2016
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
Weekly Claims and Extended Benefits Data and Weekly Initial and Continued Weeks Claimed	ETA 538, ETA 539	Section 1 Claimant Activity ,   Claimant Activity

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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	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: 08/24/2016

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