Benefits Timeliness and Quality Review System

Forms and Documents

Document Name	Status
Form ETA 9057 Form 9057 Form and Instruction	New
Form ETA 9056 ETA 9056 Form and Instruction	New
Form ETA 9055 ETA 9055 Form and Instruction	New
Form ETA 9054 ETA 9054 Form and Instruction	New
Form ETA 9052 Form 9052 Form and Instruction	New
Form ETA 9051 Form 9051 Form and Instruction	New
Form ETA 9050 Form 9050 Form and Instruction	Modified
signed_CEO Statistical Review Clearance Form_BTQ_2020_0121.pdf Supplementary Document	2020-02-19
1205-0359 Supporting Statement A 042720.docx Supporting Statement A	2020-04-27
1205-0359 Supporting Statement Part B 11-4-19 final (002).docx Supporting Statement B	2020-02-19

IC Document Collections

IC ID	Document Title	Status
240798	Form 9057 Form and Instruction	New
240796	ETA 9056 Form and Instruction	New
240795	ETA 9055 Form and Instruction	New
240794	ETA 9054 Form and Instruction	New
240793	Form 9052 Form and Instruction	New
240792	Form 9051 Form and Instruction	New
13147	Form 9050 Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0359	ICR Reference No: 202002-1205-002
Status: Active	Previous ICR Reference No: 201702-1205-003
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-09-2035-00
Title: Benefits Timeliness and Quality Review System
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: 06/08/2020
	Date Received in OIRA: 05/04/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	23,740	0	28,356
Time Burden (Hours)	37,012	0	37,812
Cost Burden (Dollars)	0	0	0

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Abstract: These reports provide data necessary to monitor state performance in administration of Unemployment Insurance as mandated by the Secretary of Labor.

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Authorizing Statute(s): US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
   US Code: 26 USC 3303 and 3304 Name of Law: Internal Revenue Code of 1986
  

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 67758	12/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 26496	05/04/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Form 9050	ETA 9050	Section V Benefits Time Lapse and Quality
Form 9051	ETA 9051	Benefits Time Lapse and Quality
Form 9052	ETA 9052	Benefits Time Lapse and Quality
ETA 9054	ETA 9054	Benefits Time Lapse and Quality
ETA 9055	ETA 9055	Benefits Time Lapse and Quality
ETA 9056	ETA 9056	Benefits Time Lapse and Quality
Form 9057	ETA 9057	Benefits Time Lapse and Quality

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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	23,740	28,356	0	-4,616	0	0
Annual Time Burden (Hours)	37,012	37,812	0	-800	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: Miscellaneous Actions

Short Statement: Samples sizes for nonmonetary and appeals quarterly reviews are determined by total workload for the prior calendar year. When states workloads change, the number of cases they are required to review is subject to change. Therefore, adjustments were made that reclassified some states from large to small, resulting in a decrease in burden. The ETA 9054 Report has been revised to correct a typographical error in Section A. The 3rd time lapse category reads 45-60 (days), but should read 46-60 (days). Many states have modernized, and now accept requests for appeal online. As such, the reporting instructions for the ETA 9054 report have been updated to include appeals filed online. Lastly, the ETA 9057 report instructions make reference to an older edition of ET Handbook No. 382 – the 2nd Edition. The language in the ETA 9057 report instructions has been revised to ensure the SWA is directed to the most recent published edition of ET Handbook No. 382.

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Annual Cost to Federal Government: $667,223

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? No

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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: 05/04/2020

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