National Dislocated Workers Emergency Grant Application and Reporting Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9107 Project Operator Data Form	Form	Modified	Available
Form ETA 9106 Project Synopsis Form	Form	Modified	Available
Form ETA 9105 Employer Data Form	Form	Modified	Available
Form ETA 9104 Quarterly Performance Report	Form	Modified	Available
Form ETA 9103-3 Planning Form (Dual Enrollment)	Form	Modified	Available
Form ETA 9103-2b Planning Form (Disaster Workforce Development Services)	Form	Modified	Available
Form ETA 9103-2a Planning Form (Disaster-Temporary Jobs)	Form	Modified	Available
Form ETA 9103-1 Planning Form (Regular)	Form	Modified	Available
1205-0439 Supporting Statement_FINAL 9.9.19.doc	Supporting Statement A	Uploaded 2019-09-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Project Operator Data Form
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Project Synopsis Form
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Employer Data Form
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Quarterly Performance Report
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Dual Enrollment)
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Disaster Workforce Development Services)
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Disaster-Temporary Jobs)
13302	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Form	Modified	Planning Form (Regular)

ICR Details

OMB Control No: 1205-0439	ICR Reference No: 201909-1205-004
Status: Historical Active	Previous ICR Reference No: 201507-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: National Dislocated Workers Emergency Grant Application and Reporting Procedures
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: 10/23/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/23/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	1,587	0	1,587
Time Burden (Hours)	1,086	0	1,086
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection is necessary for the U.S. Department of Labor’s (DOL’s) award of National Dislocated Worker Grants (NDWGs) which are discretionary grants intended to temporarily expand the service capacity at the state and local area levels, by providing funding assistance in response to major economic dislocations or other events as defined in the Workforce Innovation and Opportunity Act (WIOA) (P.L. 113-128). Funds are available for obligation by the Secretary under Sections 132 and 170 of the WIOA. Applications will be accepted on an ongoing basis as the need for funds arises for eligible applicants. The provisions of WIOA and the Regulations define two National Dislocated Worker Grant project types: ► Employment Recovery, which encompasses plant closures, mass layoffs, multiple layoffs in a single community, and higher than average demand from dislocated service members. ► Disaster Recovery, which includes Federal Emergency Management Agency (FEMA)-declared emergency and disaster events, and emergencies or disaster situations of national significance.

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Authorizing Statute(s): PL: Pub.L. 113 - 128 132, 170 Name of Law: Workforce Innovation and Opportunity Act (WIOA) of 2014
  

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 16884	04/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 49556	09/20/2019
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
Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	ETA 9103-2a, ETA 9103-2b, ETA 9103-3, ETA 9105, ETA 9106, ETA 9107, ETA 9104, ETA 9103-1	Planning Form (Regular) ,   Planning Form (Disaster-Temporary Jobs) ,   Planning Form (Disaster Workforce Development Services) ,   Planning Form (Dual Enrollment) ,   Quarterly Performance Report ,   Employer Data Form ,   Project Synopsis Form ,   Project Operator Data Form

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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	1,587	1,587	0	0	0	0
Annual Time Burden (Hours)	1,086	1,086	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: $378,950

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: 09/23/2019

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