Form ETA 8403A ETA 8403A Collection Instrument for Spending Plans for Special $50

ETA 8403A Acquisition Report and Spending Plan

State	Total Distribution	Remaining Unexpended Funds	Date
Funds Expended to Date
Funds Obligated but Not Expended
State Spending Plan for Unobligated and Unexpended Funds.

OMB No.: 1205-0154 OMB Expiration Date: 12/31/2015 Average Estimated Response Time: 30 Minutes

O M B Burden Statement: These reporting instructions have been approved under the Paperwork reduction Act of 1995. Persons are not required to respond to this collection of information unless it displays a valid OMB control number. Public reporting burden for this collection of information includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Submission is required to obtain or retain benefits under SSA 303(a)(6). Respondents have no expectation of confidentiality. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Workforce Security, Room S-4524, 200 Constitution Ave., NW, Washington, DC, 20210.

Reporting instructions for special addendum the 8403

State: Enter your state name or two letter FIPS abbreviation

Total Distribution: Insert the amount (in dollars) of funds provided by Public Law No. 111-5 to the state under the special $500M distribution. These values can be found in the first column of the table at the following link: http://wdr.doleta.gov/directives/attach/UIPL/UIPL14-09g.pdf

Remaining Unexpended Funds: Insert the amount (in dollars) of funds that have not been expended. Include funds that have been obligated but not spent.

Date: Enter the date on which the remaining unexpended funds is reported. This should be the last business day of the month.

Funds Expended to Date: Provide a description of the total amount of funds expended to date and the goods and services obtained for those funds as of the date provided on the report.

Funds Obligated but Not Expended: Provide the total amount of funds obligated but not expended and describe the goods and services that will be obtained. In addition, provide a timeline for completion including any known obstacles to expending the obligated funds.

State Spending Plan for Unobligated and Unexpended Funds: Provide a narrative description of how the state plans to spend the remaining unexpended funds. This narrative should include a timeline of when funds will be spent as well as the goods and services the state expects to receive in expending the funds.