OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Self-Employment Assistance of the Federal Emergency Unemployment Compensation Program

ICR 201508-1205-007 · OMB 1205-0490 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9161 A,B,C State Reporting, Self-Employment Assistance Form and Instruction Modified Available
Form ETA 9161 A,B,C Participant Disclosures to States Form and Instruction Modified Available
Form ETA 9161A,B,C State Records on Participants Form and Instruction Modified Repair queued
1205-0490 Supporting Statement Final 2015-10-07.doc Supporting Statement A Uploaded 2015-10-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
201520 State Reporting, Self-Employment Assistance Form and Instruction Modified
201511 Participant Disclosures to States Form and Instruction Modified
201509 State Records on Participants Form and Instruction Modified
ICR Details
1205-0490 201508-1205-007
Historical Active 201208-1205-005
DOL/ETA
Self-Employment Assistance of the Federal Emergency Unemployment Compensation Program
Revision of a currently approved collection   No
Regular
Approved without change 12/09/2015
Retrieve Notice of Action (NOA) 10/14/2015
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved 12/31/2015
12,828 0 144,312
6,456 0 72,624
0 0 0
Reporting Form ETA-9161, Self-Employment Assistance, includes information about people who enter the SEA program and the benefits they receive and some limited outcome data. These data are used for oversight and to provide data responsive to statutorily required evaluations of this program. A State summarizes information collected from SEA program participants to prepare the reports.
US Code: 42 USC 503(a)(6) Name of Law: Social Security Act
   PL: Pub.L. 112 - 96 2183(b)(1) Name of Law: Middle Class Tax Relief and Job Creation Act of 2012
   PL: Pub.L. 105 - 306 3 Name of Law: Noncitizen Benefit Clarification and Other Technical Amendments Act of 1998
  
None
Not associated with rulemaking
  80 FR 22744 04/23/2015
80 FR 61845 10/14/2015
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 12,828 144,312 0 -131,484 0 0
Annual Time Burden (Hours) 6,456 72,624 0 -66,168 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Previously information was collected for participants eligible for Emergency Unemployment Compensation, however that program has expired and authorization for that portion of this data collection is no longer necessary. Additionally, under current economic assumptions, no states are projected to pay compensation in the EB program during the next several years, resulting in a reduction in the burden estimate.
$26,367
No
No
No
No
No
Uncollected
Walter Parker 202 693-2778 [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.
10/14/2015