Unemployment Compensation for Federal Employees Handbook 391

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 935 ETA 935	Form	Modified	Repair queued
Form 935 Unemployment Compensation for Federal Employees (Individuals)	Form	Modified	Repair queued
Form 934 ETA 934	Form	Modified	Available
Form 935 ETA 935	Form	Modified	Repair queued
Form 933 ETA 933	Form	Modified	Repair queued
Form 931A ETA 931A	Form	Modified	Available
Form 931 ETA 931	Form	Modified	Repair queued
1205-0179 Supporting Statement _2024_FINAL 11262024.docx	Supporting Statement A	Uploaded 2024-12-09	Available
1205-0179 Supporting Statement _2024_FINAL 11262024.docx	Supporting Statement A	Uploaded 2024-12-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218054	Unemployment Compensation for Federal Employees (Individuals)	Form	Modified	ETA 935
218054	Unemployment Compensation for Federal Employees (Individuals)	Form	Modified
13026	Unemployment Compensation for Federal Employees (States)	Form	Modified	ETA 934
13026	Unemployment Compensation for Federal Employees (States)	Form	Modified	ETA 935
13026	Unemployment Compensation for Federal Employees (States)	Form	Modified	ETA 933
13026	Unemployment Compensation for Federal Employees (States)	Form	Modified	ETA 931A
13026	Unemployment Compensation for Federal Employees (States)	Form	Modified	ETA 931
13026	Unemployment Compensation for Federal Employees (States)	Other-Handbook	Modified

ICR Details

OMB Control No: 1205-0179	ICR Reference No: 202411-1205-005
Status: Active	Previous ICR Reference No: 202112-1205-009
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Unemployment Compensation for Federal Employees Handbook 391
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: 03/10/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2024
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2028	36 Months From Approved	03/31/2025
Responses	72,117	0	178,271
Time Burden (Hours)	5,410	0	13,313
Cost Burden (Dollars)	1,989	0	62,547

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Abstract: The UCFE law (5 U.S.C. 8501, et seq.) requires state workforce agencies to administer the UCFE program in accordance with the same terms and provisions of the paying state's unemployment insurance law, which apply to unemployed claimants who worked in the private sector. Each state agency must be able to obtain certain information (wage, separation data) about each claimant filing claims for UCFE benefits to enable them to determine his/her eligibility for benefits. The Department of Labor (DOL) has prescribed forms to enable the state agencies to obtain this necessary information from the individual's Federal employing agency. Each of these forms is essential to the UCFE claims process and the frequency of use varies depending upon the circumstances involved. These are model forms which states may customize as needed to collect the necessary information required to operate the UCFE program.

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Authorizing Statute(s): US Code: 5 USC 8506 Name of Law: Unemployment Compensation for Federal Employees Act
   US Code: 33 USC 3305(b) Name of Law: Federal Unemployment Tax Act
   US Code: 5 USC 8501 Name of Law: Unemployment Compensation for Federal Employees Act
   US Code: 42 USC 5939(a) Name of Law: Social Security 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 53653	06/27/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 100539	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: 2

table that charts list of burden

IC Title	Form No.	Form Name
Unemployment Compensation for Federal Employees (Individuals)	935	ETA 935
Unemployment Compensation for Federal Employees (States)	931A, 931, 933, 935, 934	ETA 931 ,   ETA 931A ,   ETA 933 ,   ETA 935 ,   ETA 934

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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	72,117	178,271	0	0	-106,154	0
Annual Time Burden (Hours)	5,410	13,313	0	0	-7,903	0
Annual Cost Burden (Dollars)	1,989	62,547	0	0	-60,558	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: The decreased number of UCFE claims filed resulted in a downward adjustment in responses and burden hours. The decrease in cost burden is accounting for mailing costs on the states.

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Annual Cost to Federal Government: $34,869

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.     Yes

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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