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Federal forms, ICRs, and supporting documents

Information Collection Request

Workfoce Investment Act: National Emergency Grants for Trade Health Insurance Assistance-Application and Reporting Procedures

ICR 200211-1205-004 · OMB 1205-0439 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
13301 Workfoce Investment Act: National Emergency Grants for Trade Health Insurance Assistance-Application and Reporting Procedures Form Migrated
ICR Details
1205-0439 200211-1205-004
Historical Active
DOL/ETA
Workfoce Investment Act: National Emergency Grants for Trade Health Insurance Assistance-Application and Reporting Procedures
New collection (Request for a new OMB Control Number)   No
Emergency 12/23/2002
Approved with change 01/27/2003
Retrieve Notice of Action (NOA) 11/27/2002
Approved consistent with changes detailed in memos dated 1/13/03 and 1/23/03.
  Inventory as of this Action Requested Previously Approved
05/31/2003 05/31/2003
440 0 0
333 0 0
0 0 0
DOL/ETA announces policies and application and reporting procedures for states to enable them to access funds in order to implement the Trade Health Insurance Assistance National Emergenc Grant programs. Trade Health Insurance Assistance NEG funds provide specialized assistance, including health insurance coverage, to trade-impacted workers and other individuals elilgible under the Trade Adjustment Assistance Reform Act of 2002.
None
None
No
1
IC Title Form No. Form Name
Workfoce Investment Act: National Emergency Grants for Trade Health Insurance Assistance-Application and Reporting Procedures ETA-9103, ETA-9104, ETA-9105, ETA-9106
  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 440 0 0 440 0 0
Annual Time Burden (Hours) 333 0 0 333 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/27/2002