Award Closure Statement Documents

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1205-0NEW Supporting Statement 102822 FINAL.docx	Supporting Statement A	Uploaded 2022-11-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256621	Inventory Listing Form	Other-	New
256619	Government Property Certification	Other-	New
256618	Detailed Statement of Costs	Other-	New

ICR Details

OMB Control No: 1205-0555	ICR Reference No: 202209-1205-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Award Closure Statement Documents
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/28/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/04/2022
Terms of Clearance: Prior to the resubmission of the information collection “Award Closure Statement Documents,” the agency will evaluate the burden and usability of these new forms and the new grants management and financial reporting systems and identify any unnecessary and/or duplicative information collected. This evaluation will be guided by the principles and priorities set forth in the memorandum titled “Improving Access to Public Benefits Programs Through the Paperwork Reduction Act” (April 13, 2022) https://www.whitehouse.gov/wp-content/uploads/2022/04/M-22-10.pdf. The assessment will inform and be integrated in the agency’s next extension or revision of this information collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	36 Months From Approved
Responses	3,300	0	0
Time Burden (Hours)	1,100	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR supports the collection of Award Closure Statement Documents, which are necessary to evaluate grants that have reached a period of performance end date.

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Authorizing Statute(s): US Code: 29 USC 116 Name of Law: Workforce Innovation and Opportunity Act (WIOA)
   US Code: 29 USC 185 Name of Law: Workforce Innovation and Opportunity Act (WIOA)
  

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:
	87 FR 27187	05/06/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 66749	11/04/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Detailed Statement of Costs
Government Property Certification
Inventory Listing 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	3,300	0	0	0	0	3,300
Annual Time Burden (Hours)	1,100	0	0	0	0	1,100
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: $0

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? 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: 11/04/2022

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