Work Opportunity Tax Credit (WOTC) Implementation Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SWA Survey	Form	New	Missing upstream
AJC Survey	Form	New	Repair queued
Employer Survey	Form	New	Repair queued
Employee Survey	Form	New	Repair queued
DOL WOTC_Draft WOTC Supporting Statement A_2024-9-6_Final V3.docx	Supporting Statement A	Uploaded 2024-12-02	Missing upstream
DOL WOTC_Draft WOTC Supporting Statement B_2024-09-06_Final.docx	Supporting Statement B	Uploaded 2024-09-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271011	SWA Survey	Form	New
271010	AJC Survey	Form	New
271009	Employer Survey	Form	New
271008	Employee Survey	Form	New

ICR Details

OMB Control No:	ICR Reference No: 202409-1290-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOL/OS	Agency Tracking No:
Title: Work Opportunity Tax Credit (WOTC) Implementation Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/12/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	1,450	0
Time Burden (Hours)	505	0
Cost Burden (Dollars)	0	0

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Abstract: This implementation evaluation of the Work Opportunity Tax Credit has been authorized by the Department of Labor’s Chief Evaluation Office, in partnership with the Employment and Training Administration and the Office of Disability Employment Policy. This implementation evaluation is authorized to fulfill the requirements of the Foundations for Evidence-Based Policymaking Act of 2018 and associated Office of Management and Budget guidance.

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Authorizing Statute(s): None

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 238	12/12/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 10054	12/12/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
AJC Survey	N/A	WOTC AJC Survey
Employee Survey	N/A	WOTC Employee Survey
Employer Survey	N/A	WOTC Employer Survey
SWA Survey	N/A	WOTC SWA Survey

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ICR Summary of Burden

table that charts list 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	1,450	0	0	1,450	0	0
Annual Time Burden (Hours)	505	0	0	505	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: No

Burden Reduction Due to:

Short Statement: This is a new collection and therefore not yet on the OMB Inventory. Therefore, there are no adjustments.

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Annual Cost to Federal Government: $118,601

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: 12/12/2024

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