Reemployment Services and Eligibility Assessment Program

Forms and Documents

Document Name	Status
Form ETA 9128X UCX claimants selected for an RESEs Form and Instruction	Removed
Form ETA 9129 Reemployment and Eligibility Assessment Program Form and Instruction	Modified
1205-0456 SectionIV_SpecialPrograms_ETA 9128+tracked changes 08.16.19.docx Supplementary Document	2019-08-22
1205-0456_Supporting statement-FINAL 2019-08-16.docx Supporting Statement A	2019-08-19

IC Document Collections

IC ID	Document Title	Status
201540	UCX claimants selected for an RESEs Form and Instruction	Removed
13320	Reemployment and Eligibility Assessment Program Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0456	ICR Reference No: 201906-1205-009
Status: Active	Previous ICR Reference No: 201509-1205-008
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Reemployment Services and Eligibility Assessment Program
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: 09/30/2019
	Date Received in OIRA: 08/29/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	09/30/2019
Responses	424	0	784
Time Burden (Hours)	1,060	0	392
Cost Burden (Dollars)	0	0	0

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Abstract: DOL uses the information collected in ETA 9128 and ETA 9129 1) to evaluate state performance in terms of service delivery; and 2) to report on the RESAs, including the number of scheduled in-person reemployment and eligibility assessments, the number of individuals who failed to appear for scheduled assessments, actions taken as a result of individuals not appearing for an assessment (e.g., benefits terminated), results of assessments (e.g., referred to reemployment services, found in compliance with program requirements), estimated savings resulting from cessation of benefits, and estimated savings as a result of accelerated reemployment. The population served includes claimants who have been determined to be most likely to exhaust their benefits and veterans receiving Unemployment Compensation for Ex-Servicemembers (UCX). It is proposed that the population of claimants who are most likely to exhaust their benefits be reported on the ETA 9128 and the ETA 9129 and separate reports with the same data elements be provided for UCX claimants. These reports will be the ETA 9128 X and the ETA 9129 X.

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Authorizing Statute(s): PL: Pub.L. 112 - 96 2142 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012.
   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:
	84 FR 9140	03/13/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 45532	08/29/2019
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
Reemployment and Eligibility Assessment Program	ETA 9128, ETA 9129	ETA 9129 Reemployment Services and Eligibility Assessments (RESEAs) Outcomes ,   ETA 9128 - Reemployment Services and Eligibility Assessments (RESEAs) Workload
UCX claimants selected for an RESEs	ETA 9128X, ETA 9129X	Section IV Special Programs ,   ETA 9129 X Reemployment Services and Eligibility Assessments (RESEAs) for Unemployment Compensation for Ex-Service members (UCX) Outcomes

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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	424	784	0	-360	0	0
Annual Time Burden (Hours)	1,060	392	0	668	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Changes include discontinuation of separate reporting (forms) for program participants receiving Unemployment Compensation for Ex-Servicemember (UCX) that was previously conducted under the ETA 9128X and 9129X - these forms were removed.

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Annual Cost to Federal Government: $26,124

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/29/2019

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