Form ETA-9161 Self-Employment Assistance

UI REPORT HANDBOOK NO. 401

ETA 9161 - SELF EMPLYMENT ASSISTANCE (REGULAR PROGRAM)

ETA 9161 - SELF EMPLYMENT ASSISTANCE (REGULAR PROGRAM)

Section IV-11

A. Facsimile of Form 235

B. Purpose 236

C. General Reporting Instructions 236

D. Item by Item Instructions 236

E. Definition 236

F. Item by Item Instructions 236

1. Claimants Participating in and Receiving Benefits from SEA 236

2. Benefits Paid to all SEA Claimants 237

3. Claimants in SEA who Discontinue Participation 237

4. Claimants in SEA who Receive a Final Payment 237

5. Number of Establishments created by SEA Claimants 237

6. Number of SEA Establishments Continuing to Operate 237

7. Individuals Employed by SEA Establishments 237

8. Gross Revenues Earned by SEA Establishments 237

9. Wages Paid by SEA Establishments 237

G. Special Program Reporting 237

1. Reporting Activities Under the EB Provisions 237

1. Facsimile of Form

ETA 9161 – SELF EMPLYMENT ASSISTANCE (REGULAR PROGRAM)

STATE	REGION	REPORT FOR PERIOD ENDING

Section A: Claimants referred to SEA

Claimants Participating in and Receiving Benefits from SEA
Benefits Paid to all SEA Claimants
Claimants in SEA who Discontinue Participation
Claimants in SEA who Receive a Final Payment

Section B: SEA Outcomes

Number of Establishments created by SEA Claimants
Cumulative Number of SEA Establishments Operating
Individuals Employed by SEA Establishments
Gross Revenues Earned by SEA Establishments
Wages Paid to individuals by SEA Establishments

Comments:

OMB No.: 1205-0490 OMB Expiration Date OMB Burden Minutes: 120 minutes

OMB 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 retain or obtain benefits under SSA 303(a) (6) (42 U.S.C. 503(a)) and Pub. L. 112-96 section 2183(b) (1). 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 Unemployment Insurance, Room S.4524, 200 Constitution Ave., NW, Washington, DC, 20210.

1. Purpose

The ETA 9161 report is intended to provide a description of the scope of activities states engage in supporting Self Employment Assistance (SEA) for UI Claimants in the Regular and Extended Benefits Programs.

3. General Reporting Instructions

The report is due in the ETA National Office on the first day of the second month following each calendar quarter to which it relates.

4. Item by Item Instructions

This report summarizes claimant activity in the SEA program. Claimants subject to reporting include anyone who is eligible to receive a week of payment in the SEA program as administered by the state. There are program specific forms to accommodate reporting for SEA participants in the regular program and the Federal State Extended Benefits program. States should ensure that reporting activity is recorded on the correct form by program type.

States should ensure that they are able to capture the necessary outcome data from the SEA program as requested on the form. In many cases, the only effective way to accomplish this is to build into the claimant’s SEA agreement a responsibility to follow up with the state and to provide data on the continued operation of their establishment, whether it employs people and what wages these people are paid, and what sorts of revenues the establishment may be generating. States should not rely on UI wage records or state business tax records, as many self-employed individuals may not be represented in those systems and would go under-reported.

5. Definition

Establishment: For the purposes of this report, states should use the definition of establishment provided by the Bureau of Labor Statistics for the Current Employment Statistics Survey. An establishment is an economic unit, such as a factory, mine, store, or office that produces goods or services. It generally is at a single location and is engaged predominantly in one type of economic activity. Where a single location encompasses two or more distinct activities, these are treated as separate establishments, if separate payroll records are available, and the various activities are classified under different industry codes.

6. Item by Item Instructions

1. Claimants Participating in and Receiving Benefits from SEA. Provide the number of claimants who are part of the state’s SEA program and received at least one check during the reporting period. Do not include counts of claimants who attended an orientation, or made inquiries about SEA or were referred to the program but never formally entered the program. Include counts of claimants who entered the program and received at least one payment but were subsequently disqualified due to eligibility issues.

2. Benefits Paid to all SEA Claimants. Provide the total benefits paid during the report period to all claimants participating in the state SEA program.

3. Claimants in SEA who Discontinue Participation. Enter the number of claimants who chose to leave the SEA program, or who were removed from the program due to eligibility issues.

4. Claimants in SEA who Receive a Final Payment. Enter the number of claimants who entered the state SEA program and received a payment that reduced their account balance to zero in the program in which they are claiming benefits.

5. Number of Establishments created by SEA Claimants. Enter the number of establishments created by SEA claimants during the current reporting period.

6. Number of SEA Establishments Continuing to Operate. Report the number of establishments that were created by claimants in the SEA program in prior reporting periods that continue to operate during the current reporting period.

7. Individuals Employed by SEA Establishments. Report the number of people employed by SEA establishments identified in items 5 and 6 above. Including the SEA participant in the total reported.

8. Gross Revenues Earned by SEA Establishments. Report the gross revenues earned by SEA Establishments identified in items 5 and 6 above.

9. Wages Paid by SEA Establishments: Report the amount of wages and compensation paid by the SEA Establishment to individuals, including the SEA participant, reported as employed by SEA establishments identified in items 5 and 6 above.

7. Special Program Reporting

1. Reporting Activities Under the EB Provisions.

   1. Special Reporting Requirements. When a state that is operating an SEA program begins an extended benefit period under the Extended Benefit (EB) provisions of its state law, electronically report SEA EB program activities separately from regular UI SEA program activities.

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08/ 2019