OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Request for Determination of Eligibility to Apply for the Alternative Trade Adjustment Assistance for Older Workers

ICR 200308-1205-001 · OMB 1205-0442 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
13305 Request for Determination of Eligibility to Apply for the Alternative Trade Adjustment Assistance for Older Workers Migrated
ICR Details
1205-0442 200308-1205-001
Historical Active
DOL/ETA
Request for Determination of Eligibility to Apply for the Alternative Trade Adjustment Assistance for Older Workers
New collection (Request for a new OMB Control Number)   No
Emergency 08/05/2003
Approved without change 08/06/2003
Retrieve Notice of Action (NOA) 08/04/2003
Approved for 3 months under emergency procedures, until the revised form is cleared. This version incorporates the ATAA provisions. The form is a "model" and respondents are not required to use this form in applying.
  Inventory as of this Action Requested Previously Approved
10/31/2003 10/31/2003
4,100 0 0
68 0 0
0 0 0
The Request for Determination of Eligibility to Apply for the Alternative Trade Adjustment Assistance for Older Workers Program provides a interim format for a group of workers to apply for benefits under the Alternative Trade Adjustment Assistance (ATAA) program. The form is intended to serve as an interim form so that applications may be submitted while awaiting OMB approval of the permanent form.
None
None
No
1
IC Title Form No. Form Name
Request for Determination of Eligibility to Apply for the Alternative Trade Adjustment Assistance for Older Workers
  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 4,100 0 0 4,100 0 0
Annual Time Burden (Hours) 68 0 0 68 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.
08/04/2003