The Work Opportunity Tax Credit (WOTC) is a Federal tax credit available to employers for hiring individuals from certain target groups who have consistently faced significant barrier to employment. This submission includes seven WOTC program forms as follows:
⢠ETA Long-Term Unemployment Recipient Self-Attestation Form (SAF) 9175
⢠ETA Form 9058 - Report 1, Revised (Rev.) April 2016 - Certification Workload and Characteristics of Certified Individuals
⢠ETA Form 9061, Rev. April 2016 - Individual Characteristics Form
⢠ETA Form Spanish 9061, Rev. April 2016 - Individual Characteristics Form
⢠ETA Form 9062, Rev. April 2016 - Conditional Certification
⢠ETA Form 9063, Rev. April 2016 - Employer Certification
⢠ETA Form 9065, Rev. April 2016 - Agency Declaration of Verification Results Worksheet.
The U.S. Department of Laborâs Employment and Training Administration (ETA) requests OMB to authorize emergency clearance for Information Collection Request for ETA Forms 9058- Report 1, 9061(English and Spanish), and 9062 (OMB Control No. 1205-0371). Additionally, ETA seeks emergency clearance for a Self-Attestation Form to help facilitate the eligibility determination and verification process for a new target group, Qualified Long-term Unemployment Recipients. See attached Work Opportunity Tax Credit (WOTC) forms.
Immediate Effect of Statutory Requirement Justifies Emergency Clearance Request
On December 18, 2015, President Obama signed into law the Protecting Americans from Tax Hikes Act of 2015, Pub. L. No. 114-113, div. Q (PATH Act). The PATH Act created a new target group, Qualified Long-term Unemployment Recipients, under WOTC. WOTC is a Federal tax credit available to employers for hiring individuals from certain target groups who have consistently faced significant barrier to employment. WOTC is authorized under §§ 51 and 3111(e) of the Internal Revenue Code (Code), as extended and amended by the PATH Act. Legislative authority for the new group took immediate effect, January 1, 2016; consequently, emergency clearance procedures are justified to engage in the collection of information as soon as possible under the circumstances..
The addition of a new target group, Qualified Long-term Unemployment Recipient (LTUR), ETA created a national SAF. The SAF is to be completed by the new hire only. This results in a burden increase due to new statutory requirements of 16,276 hours.
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.
Form ETA 9065 Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
BILLS-114hr2029enr see p815.pdf
1205-0371 Supporting Statement_FINAL 5.9.16.docx
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit