Fidelity Bonding Issuance

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1205-0541 NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-13	Available
1205-0541 NonSubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-13	Repair queued
FBDG TEGL_10-20_Funding.pdf	Supplementary Document	Uploaded 2023-01-10	Available
FBDG TEGL_10-20_Funding.pdf	Supplementary Document	Uploaded 2023-01-10	Missing upstream
1205-0541 Supporting Statement - CLEAN 4.423.docx	Supporting Statement A	Uploaded 2023-04-04	Available
1205-0541 Supporting Statement - CLEAN 4.423.docx	Supporting Statement A	Uploaded 2023-04-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240164	State Bonding Coordinators or Designated AJC Counselors - Recordkeeping		Unchanged
238575	State Bonding Coordinators or AJC Counselors -- Data Collection and Submission	Other-Fidelity Bonding Issuance Form	Modified
238574	Employers		Unchanged
238573	Placed Individuals		Unchanged

ICR Details

OMB Control No: 1205-0541	ICR Reference No: 202506-1205-004
Status: Active	Previous ICR Reference No: 202301-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Fidelity Bonding Issuance
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/08/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/13/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	05/31/2026	05/31/2026
Responses	32,000	0	32,000
Time Burden (Hours)	2,400	0	2,400
Cost Burden (Dollars)	0	0	0

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Abstract: The Department’s Federal Bonding Program (FBP) provides fidelity bonds that protect employers hiring at-risk job applicants from theft, forgery, or embezzlement by the employee. Although the bonds have primarily served offenders, any at-risk job applicant is eligible for bonding services, including: recovering substance abusers (alcohol or drugs), welfare recipients and other persons having poor financial credit, economically disadvantaged youth and adults who lack a work history, individuals dishonorably discharged from the military, and others.

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Authorizing Statute(s): US Code: 29 USC 3224 Name of Law: Section 169 Workforce Innovation and Opportunity Act (WIOA)
   US Code: 29 USC 3245 Name of Law: Section 185 Workforce Innovation and Opportunity Act (WIOA)
  

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:
	87 FR 57720	09/21/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 21210	04/10/2023
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
Employers
Placed Individuals
State Bonding Coordinators or AJC Counselors -- Data Collection and Submission
State Bonding Coordinators or Designated AJC Counselors - Recordkeeping

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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	32,000	32,000	0	0	0	0
Annual Time Burden (Hours)	2,400	2,400	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $220,000

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.     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: 06/13/2025

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