OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit

ICR 201201-1205-001 · OMB 1205-0371 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9065 Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit Form and Instruction Modified Available
Form ETA 9154 WOTC Self-Attestation Form (ETA-9154) Form Removed Available
Form ETA 9061 Individual Characteristics Form and Instruction Modified Available
Supporting Statement 1205-0371 416 12 final.docx Supporting Statement A Uploaded 2012-04-16 Available
New Forms TEGL Vets leg for PRA Mar 2012.doc Supplementary Document Uploaded 2012-03-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
43791 Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit Form and Instruction Modified
190816 WOTC Self-Attestation Form (ETA-9154) Form Removed
184551 Individual Characteristics Form and Instruction Modified
ICR Details
1205-0371 201201-1205-001
Historical Active 201005-1205-011
DOL/ETA 012-05-01-02-02-2025-00.
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
Revision of a currently approved collection   No
Regular
Approved without change 06/18/2012
Retrieve Notice of Action (NOA) 04/19/2012
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved 06/30/2012
2,420,624 0 2,527,028
847,445 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 WOTC targeted groups are eligible for certification (including use of statistical sampling techniques). The current request includes veterans' legislation changes due to requirements in the VOW to Hire Heroes Act of November 2011.
PL: Pub.L. 109 - 432 105 Name of Law: Tax Relief and Health Care Act of 2006
   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. 112 - 56 261 Name of Law: VOW to Hire Heroes Act of 2011
  
PL: Pub.L. 112 - 56 261 Name of Law: VOW to Hire Heroes Act of 2011
Not associated with rulemaking
  76 FR 55946 09/09/2011
76 FR 73682 11/29/2011
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 2,420,624 2,527,028 0 -106,000 -404 0
Annual Time Burden (Hours) 847,445 883,305 0 -34,985 -875 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Changes in ROCIS calculations include removal of burden hours associated with the WOTC state plans' requirements. ETA previously required the annual submission of a state plan as a condition for states to receive WOTC funding. However, ETA ended this requirement several years ago and replaced it with a statement of work for the use of WOTC funds by the states. This statement of work is developed by ETA and states do not incur burden hours. In addition, ETA is discontinuing the Youth Self-Attestation Form, ETA Form 9154. This form was used for the ARRA Disconnected Youth WOTC target group, and this category expired on December 31, 2010.
$28,189
No
No
No
No
No
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.
04/19/2012