Benefits Timeliness and Quality Review System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA-9057 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9057 Form 9057	Form and Instruction	Modified	Repair queued
Form ETA-9056 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9056 ETA 9056	Form and Instruction	Modified	Available
Form ETA-9055 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9055 ETA 9055	Form and Instruction	Modified	Repair queued
Form ETA-9054 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9054 ETA 9054	Form and Instruction	Modified	Available
Form ETA-9052 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9052 Form 9052	Form and Instruction	Modified	Repair queued
Form ETA-9051 Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9051 Form 9051	Form and Instruction	Modified	Repair queued
Form ETA-9050 Section V Benefits Time Lapse & Quality	Form and Instruction	Modified	Repair queued
Form ETA-9050 Form 9050	Form and Instruction	Modified	Repair queued
signed_PRA Signature Form_Benefits Timeliness and Quality (BTQ) Review SystemPackage_(2023_0201).pdf	Supplementary Document	Uploaded 2023-03-22	Repair queued
OMB 1205-0359 Supporting Statement Part B_2022.docx	Supporting Statement B	Uploaded 2023-03-22	Repair queued
1205-0359 Supporting Statement 6.1.23 - Clean.docx	Supporting Statement A	Uploaded 2023-06-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240798	Form 9057	Form and Instruction	Modified	Benefits Time Lapse & Quality
240798	Form 9057	Form and Instruction	Modified
240796	ETA 9056	Form and Instruction	Modified	Benefits Time Lapse & Quality
240796	ETA 9056	Form and Instruction	Modified
240795	ETA 9055	Form and Instruction	Modified	Benefits Time Lapse & Quality
240795	ETA 9055	Form and Instruction	Modified
240794	ETA 9054	Form and Instruction	Modified	Benefits Time Lapse & Quality
240794	ETA 9054	Form and Instruction	Modified
240793	Form 9052	Form and Instruction	Modified	Benefits Time Lapse & Quality
240793	Form 9052	Form and Instruction	Modified
240792	Form 9051	Form and Instruction	Modified	Benefits Time Lapse & Quality
240792	Form 9051	Form and Instruction	Modified
13147	Form 9050	Form and Instruction	Modified	Section V Benefits Time Lapse & Quality
13147	Form 9050	Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0359	ICR Reference No: 202303-1205-005
Status: Active	Previous ICR Reference No: 202002-1205-002
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Benefits Timeliness and Quality Review System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/09/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	23,740	0	23,740
Time Burden (Hours)	36,612	0	37,012
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:
	88 FR 2639	01/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 37906	06/09/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

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

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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	23,740	23,740	0	0	0	0
Annual Time Burden (Hours)	36,612	37,012	0	-400	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, others from small to large, resulting in a change in burden.

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Annual Cost to Federal Government: $1,141,509

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: 06/09/2023

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