The Work Opportunity Tax Credit (WOTC) is a Federal tax credit available to employers for hiring individuals from certain target groups who have consistently faced significant barrier to employment. This submission includes seven WOTC program forms as follows: ⢠ETA Form 9175, Revised November 2016 â Self-Attestation Form (SAF) for the Long-Term Unemployment Recipient ⢠ETA Form 9058 - Report 1, Revised November 2016 - Certification Workload and Characteristics of Certified Individuals ⢠ETA Form 9061, Revised November 2016 - Individual Characteristics Form ⢠ETA Form 9062, Revised April 2016 - Conditional Certification ⢠ETA Form 9063, Revised April 2016 - Employer Certification ⢠ETA Form 9065, Revised April 2016 - Agency Declaration of Verification Results Worksheet
There are burden hour changes to the information collection compared to the prior ICR approval (March 2020). Since the previously approved ICR, the burden analysis has been updated to reflect 53 state respondents as opposed to 52, and the estimated total annual responses have been increased to reflect fiscal year 2021 WOTC program data. Other changes reflect normal increases to wage rates for state and Federal staff since the last approval of this ICR. The specific changes impacting burden hours is the introduction of ETA Form 9198. The Department estimates that the use of ETA Form 9198 will increase response burden by 0.33 hour for each respondent, based on relative burden time that was estimated for similar IC requirements. Since Form 9198 is optional in use, and many SWAs will use their automated systems to process Form 9198, alleviating any undue necessary burden hours on employers and states, The data collection process is not changing significantly from the last iteration. There are no administrative program changes from the previously approved ICR, however; states may be required to spend minimal time updating / uploading the revised forms in their automated systems. The anticipated burden for uploading the revised forms into automated systems is negligible and not expected to impact the burden estimate hours.
The WOTC processing and administrative forms have been updated to reflect general grammatical, syntax, and/or form formatting revisions. Full specific form revisions are listed on the supporting document.
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:
(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;
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.
Work Opportunity Tax Credit (WOTC)