OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Reporting and Performance Standards for WIA Indian and Native American Programs

ICR 201212-1205-006 · OMB 1205-0422 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9084 Comprehensive Services Program report (Form ETA-9084) (Not-for-Profit Grantees) Form and Instruction New Repair queued
supporting_statement_1205-0422_final.doc Supporting Statement A Uploaded 2013-05-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
45442 Supplemental Youth Services Program Report (Tribal Govermment Grantees) Instruction Modified
207054 Standardized Participant Information Record (Tribal Government Grantees) Instruction New
207053 Standardized Participant Information Record (Not-for-Profit Grantees) Instruction New
207052 Comprehensive Services Program report (Form ETA-9084) (Not-for-Profit Grantees) Form and Instruction New
192308 Standardized Participant Information Record (Individual Participants) Instruction Modified
13267 Comprehensive Services Program Report and Supplemental Youth Services Report (Forms ETA-9084 and ETA-9085) (Tribal Government Grantees) Instruction Modified
ICR Details
1205-0422 201212-1205-006
Historical Active 201001-1205-001
DOL/ETA 012-05-01-02-02-2025-00.
Reporting and Performance Standards for WIA Indian and Native American Programs
Revision of a currently approved collection   No
Regular
Approved with change 09/18/2013
Retrieve Notice of Action (NOA) 05/31/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
28,110 0 42,768
53,611 0 90,262
0 0 0
OMB Control No. 1205-0422 contains two forms: ETA 9084, Comprehensive Services Program, and ETA 9085, Supplemental Youth Services Program. It also includes standard data elements for participants, the basis of the current performance standards system for WIA section 166 grantees. ETA 9084 is completed by both tribal and non-profit private sector grantees. ETA 9085 is completed only by tribal grantees.
PL: Pub.L. 105 - 220 166 Name of Law: Workforce Investment Act
  
None
Not associated with rulemaking
  78 FR 19018 03/28/2013
78 FR 32459 05/30/2013
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 28,110 42,768 0 -7,521 -7,137 0
Annual Time Burden (Hours) 53,611 90,262 0 -33,897 -2,754 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Adjustments affecting burden calculations: ARRA youth tribal funds are no longer accounted for, and youth data collection has reverted back from monthly to quarterly, and the grantees now total 122 instead of 127, with a concomitant loss of participants. Funding for the grant program has also been reduced over the past three years, also resulting in fewer participants served.
$43,966
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.
05/31/2013