YouthBuild Work Site Description and Housing Census

Forms and Documents

Document Name	Status
Form ETA 9143 Annual Housing Census Form and Instruction	Modified
Form ETA 9143 Work Site Description (existing grantees) Form and Instruction	Modified
Form ETA 9143 Work Site Description (prospective applicants) Form and Instruction	Modified
Form ETA 9138 Participant Data Collection Form and Instruction	Removed
Form ETA 9136 Quarterly Performance Report Form and Instruction	Removed
1205-0464_YB_Supporting Statement_Clean.docx Supporting Statement A	2024-07-02

IC Document Collections

IC ID	Document Title	Status
232440	Annual Housing Census Form and Instruction	Modified
201498	Work Site Description (existing grantees) Form and Instruction	Modified
200351	Work Site Description (prospective applicants) Form and Instruction	Modified
180994	Participant Data Collection Form and Instruction	Removed
180934	Quarterly Performance Report Form and Instruction	Removed

ICR Details

OMB Control No: 1205-0464	ICR Reference No: 202405-1205-003
Status: Received in OIRA	Previous ICR Reference No: 202108-1205-004
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: YouthBuild Work Site Description and Housing Census
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/22/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2024
Responses	650	7,490
Time Burden (Hours)	197	24,489
Cost Burden (Dollars)	0	0

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Abstract: Per the YouthBuild Transfer Act as well as Workforce Investment Act and its replacement Workforce Innovation and Opportunity Act and regulations 20 CFR part 672, YouthBuild grantees collect and report selected standardized information pertaining to customers in YouthBuild programs for the purposes of general program oversight, evaluation, and performance assessment. ETA provides all grantees with a YouthBuild management information system to use for collecting participant data and for preparing and submitting the required quarterly reports.

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Authorizing Statute(s): PL: Pub.L. 113 - 128 185, 189 Name of Law: Workforce Innovation and Opportunity Act
   PL: Pub.L. 109 - 281 1 et seq. Name of Law: YouthBuild Transfer Act
  

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:
	89 FR 19883	03/20/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 67973	08/22/2024
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Annual Housing Census	ETA 9143	Worksite Description and Annual Housing Census Form
Participant Data Collection	ETA 9138	Youtbuild Data Elements
Quarterly Performance Report	ETA 9136	MIS System, Quarterly Report
Work Site Description (existing grantees)	ETA 9143, ETA 9143	Work Site Description and Annual Housing Census Forms ,   Worksite Description and Annual Housing Census Form
Work Site Description (prospective applicants)	ETA 9143	Work Site Description and Annual Housing Census Forms

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ICR Summary of Burden

	Total Request	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	650	7,490	0	-6,840	0	0
Annual Time Burden (Hours)	197	24,489	0	-24,292	0	0
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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The decrease in the overall burden is due to the addition of the web-based submission option for the ETA-9143 Housing Census form. This option reduces the burden for the Housing Census submission by .25 hours. Microsoft Forms will reduce submission errors that lead to increased burden. YouthBuild will not be renewing ETA-9136, the Standardized Quarterly Performance Report – YouthBuild Grant and the ETA-9138, the YouthBuild Case Management and Performance Management Information System, therefore, the ICR title has changed to reflect the document that is being revised.

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Annual Cost to Federal Government: $200,304

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.     Yes

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: 08/22/2024

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