Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act

Forms and Documents

Document Name	Status
Form ETA-9085 Supplemental Youth Services Program Report (ETA 9085) Form	Modified
Form ETA-9084 Comprehensive Services Program report (Form ETA-9084) Form	Modified
1205-0422 Supporting Statement 012120.docx Supporting Statement A	2020-01-21

IC Document Collections

IC ID	Document Title	Status
45442	Supplemental Youth Services Program Report (ETA 9085) Form	Modified
207054	Standardized Participant Information Record (Tribal Government Grantees) Instruction	Removed
207053	Standardized Participant Information Record (Not-for-Profit Grantees) Instruction	Removed
207052	Comprehensive Services Program report (Form ETA-9084) Form	Modified
192308	Standardized Participant Information Record (Individual Participants) Instruction	Removed
13267	Comprehensive Services Program Report and Supplemental Youth Services Report (Forms ETA-9084 and ETA-9085) (Tribal Government Grantees) Instruction	Removed

ICR Details

OMB Control No: 1205-0422	ICR Reference No: 201912-1205-009
Status: Active	Previous ICR Reference No: 201608-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-02-02-2025-00.
Title: Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act
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: 03/03/2020
	Date Received in OIRA: 01/31/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	03/31/2020
Responses	590	0	24,170
Time Burden (Hours)	1,180	0	48,686
Cost Burden (Dollars)	60,959	0	0

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Abstract: OMB Control No. 1205-0422 contains two forms: ETA 9084, Comprehensive Services Program, and ETA 9085, Supplemental Youth Services Program. It also includes standard data elements for participants, the basis of the current performance standards system for WIOA section 166 grantees. ETA 9084 is completed by both tribal and non-profit private sector grantees. ETA 9085 is completed only by tribal grantees.

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Authorizing Statute(s): PL: Pub.L. 105 - 220 166 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 62557	11/15/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5249	01/29/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Comprehensive Services Program Report and Supplemental Youth Services Report (Forms ETA-9084 and ETA-9085) (Tribal Government Grantees)	9085, ETA 9085, ETA 9084	General Reporting Instructions for the Supplemental Youth Services Program Report ,   General Reporting Instructions for the Comprehensive Services Program Report and Standardized Participant Information Record Data ,   Summer Youth Report Form
Standardized Participant Information Record (Not-for-Profit Grantees)
Standardized Participant Information Record (Tribal Government Grantees)
Comprehensive Services Program report (Form ETA-9084)	ETA-9084, ETA-9084	Comprehensive Services Quarterly Performance Report ,   Comprehensive Services Quarterly Performance Report
Supplemental Youth Services Program Report (ETA 9085)	ETA-9085, ETA-9085	INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-ANNUAL REPORT ,   INDIAN AND NATIVE AMERICAN YOUTH PROGRAM ANNUAL / SEMI-ANNUAL REPORT
Standardized Participant Information Record (Individual Participants)

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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	590	24,170	0	102	-23,682	0
Annual Time Burden (Hours)	1,180	48,686	0	-10,532	-36,974	0
Annual Cost Burden (Dollars)	60,959	0	0	60,959	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: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: The prior ICR stated that Form ETA-9085 was submitted quarterly when it should have stated semi-annually. This ICR corrects that error. The prior ICR also included burden hours for “collecting” the data for the SPIR report which is different than “submitting” a SPIR report and therefore misrepresents the burden hours for submitting the SPIR. This ICR combines ETA Form 9084 and the SPIR as one report because ETA Form 9084 is an aggregate (roll-up) of the individual records in the SPIR and both reports are uploaded simultaneously.

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Annual Cost to Federal Government: $52,412

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: 01/31/2020

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