OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Work Opportunity Tax Credit and Welfare-to-Work Tax Credit

ICR 201111-1205-010 · OMB 1205-0371 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form ETA-9062 Work Opportunity Tax Credit and Welfare-to-Work Tax Credit Form and Instruction Modified Available
Form ETA 9154 WOTC Self-Attestation Form (ETA-9154) Form Unchanged Repair queued
Form ETA-9061 Individual Characteristics Form and Instruction Modified Available
Justification for Non Sbs Change Request WOTC Nov 2011 leg changes(20111201).doc Justification for No Material/Nonsubstantive Change Uploaded 2011-12-01 Repair queued
1205-0371 WOTC supporting statements ROCIS version.pdf Supporting Statement A Uploaded 2011-12-01 Available
1205-0371 Justification for Non-Substantive Change, June 2010.doc Justification for No Material/Nonsubstantive Change Uploaded 2010-06-09 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
43791 Work Opportunity Tax Credit and Welfare-to-Work Tax Credit Form and Instruction Modified
190816 WOTC Self-Attestation Form (ETA-9154) Form Unchanged
184551 Individual Characteristics Form and Instruction Modified
ICR Details
1205-0371 201111-1205-010
Historical Inactive 201005-1205-011
DOL/ETA 012-05-01-02-02-2025-00.
Work Opportunity Tax Credit and Welfare-to-Work Tax Credit
No material or nonsubstantive change to a currently approved collection   No
Regular
Withdrawn and continue 12/28/2011
Retrieve Notice of Action (NOA) 12/02/2011
  Inventory as of this Action Requested Previously Approved
12/31/2011 12/31/2011 06/30/2012
2,527,028 0 2,527,028
883,305 0 883,305
0 0 0
Tax Credit Program Administration: Data and information provided by the states on these forms are used for program planning, evaluation of Program performance and outcomes through states' quarterly report and for oversight/verification activities as mandated by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508) section 11405(c), which extended indefinitely the $5 million set-aside for testing whether individuals certified as members of Work Opportunity Tax Credit (WOTC) targeted groups are eligible for certification (including use of statistical sampling techniques). As long as there is a WOTC appropriation, this is a continuing requirement.
PL: Pub.L. 101 - 508 11405(c) Name of Law: Omnibus Budget Reconciliation Act of 1989
   PL: Pub.L. 110 - 28 8211 Name of Law: Small Business and Work Opportunity Tax Act
   PL: Pub.L. 109 - 432 105 Name of Law: Tax Relief and Health Care Act of 2006
  
None
Not associated with rulemaking
  73 FR 1648 01/09/2008
73 FR 24315 05/02/2008
Yes
No
No
$23,847
No
No
No
No
Yes
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.
12/02/2011