OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Migrant and Seasonal Farmworker (MSFW) Monitoring Report and One-Stop Career Center Complaint/Referral Record

ICR 200809-1205-002 · OMB 1205-0039 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA-5148 Program Monitoring Form and Instruction New Available
Form ETA 8429 Job Service Complaint Form Form and Instruction Modified Repair queued
1205-0039 supporting statement 12 19 08.pdf Supporting Statement A Uploaded 2008-12-19 Repair queued
access to LEARS screen shots, test site.doc Supplementary Document Uploaded 2008-12-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
186595 Program Monitoring Form and Instruction New
12963 Job Service Complaint Form Form and Instruction Modified
ICR Details
1205-0039 200809-1205-002
Historical Active 200509-1205-003
DOL/ETA EBSS: 012-05-01-02-02-2025-00.
Migrant and Seasonal Farmworker (MSFW) Monitoring Report and One-Stop Career Center Complaint/Referral Record
Revision of a currently approved collection   No
Regular
Approved without change 02/12/2009
Retrieve Notice of Action (NOA) 01/09/2009
  Inventory as of this Action Requested Previously Approved
02/29/2012 36 Months From Approved 02/28/2009
2,350 0 2,348
1,566 0 1,566
0 0 0
These forms are necessary as part of federal regulations at 20 CFR Parts 651, 653 and 658. ETA 5148 collects data which are primarily used to monitor and measure the extent and effectiveness of State Workforce Agencies service delivery to migrant and seasonal farm workers (MSFWs). ETA 8429, the One-Stop Career Center Compliance Referral Record, is used to collect and document complaints filed by MSFWs and non-MSFWs regarding service delivery.
US Code: 29 USC 20 et seq Name of Law: Wagner Peyser Act as amended
  
None
Not associated with rulemaking
  73 FR 37499 07/01/2008
74 FR 923 01/09/2009
No
  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 2,350 2,348 0 0 2 0
Annual Time Burden (Hours) 1,566 1,566 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The two added annual responses correct an adjustment in the Agency Estimate in the previous submission.
$9,394
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Naradzay 202-693-3675 [email protected]
  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.
01/09/2009