OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Unemployment Insurance Supplemental Budget Request Activities

ICR 201406-1205-001 · OMB 1205-0517 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA-9165 Supplementary Budget Request Activities Form and Instruction New Available
Justification for ETA 9165_05.20.15.doc Supporting Statement A Uploaded 2015-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
212051 Supplementary Budget Request Activities Form and Instruction New
ICR Details
1205-0517 201406-1205-001
Historical Active
DOL/ETA
Unemployment Insurance Supplemental Budget Request Activities
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/20/2015
Retrieve Notice of Action (NOA) 02/26/2015
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved
212 0 0
1,237 0 0
0 0 0
To monitor the progress of State Workforce Agencies in successfully implementing projects funded through Supplemental Budget Requests, Form ETA 9165 will request information including the funded project's title and purpose, timeline and milestones, and a narrative description of the project implementation status.
US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
  
None
Not associated with rulemaking
  79 FR 24012 04/29/2014
80 FR 10518 02/26/2015
No
1
IC Title Form No. Form Name
Supplementary Budget Request Activities ETA-9165, ETA-9165 Quarterly Reporting Form for Supplemental Activities ,   Quarterly Narrative Progress Report ETA Form-9165
  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 212 0 0 212 0 0
Annual Time Burden (Hours) 1,237 0 0 1,237 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$25,471
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.
02/26/2015