Information Collection Request

Senior Community Service Employment Program (SCSEP)

ICR 202605-1205-001 · OMB unassigned · Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9191 GPMS Data Collection Instrument Form and Instruction New Repair queued
Form ETA 9124A Participant Survey Form Modified Repair queued
Form ETA 9124C2 Employer Survey Form Modified Repair queued
Form ETA 9124C2 Employer Survey Form Removed Repair queued
Form ETA 9124A Participant Survey Form Removed Repair queued
Form ETA 9124B Host Agency Survey Form Modified Repair queued
Form ETA 9124C1 Employer Survey Form and Instruction Unchanged Repair queued
SCSEP CSS 1205-0040 Supporting Statement Part B_ clean.docx Supporting Statement B Uploaded 2024-03-13 Repair queued
signed_PRA Signature Form_SCSEP_(2024_0206).pdf Supplementary Document Uploaded 2024-03-13 Repair queued
Additional Context for ICR Changes 10.18.21.docx Supplementary Document Uploaded 2021-10-18 Repair queued
signed_PRA Signature Form_SCSEP_(2021_1001).pdf Supplementary Document Uploaded 2021-10-04 Repair queued
Supporting Statement A_1205-0040.docx Supporting Statement A Uploaded 2026-05-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
280456 ETA 9191 Combined Form and Instruction NewGPMS Data Collection Instrument
264386 Participant Customer Satisfaction – ETA-9124A Form ModifiedParticipant Survey
232730 Employer Customer Satisfaction – ETA-9124C2 Form ModifiedEmployer Survey
232726 Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form RemovedEmployer Survey
215838 Participant Survey Pilot Project -- ETA-9124A Form RemovedParticipant Survey
215838 Participant Survey Pilot Project -- ETA-9124A Instruction Removed
185407 Host Agency Customer Satisfaction – ETA-9124B Form ModifiedHost Agency Survey
180160 Employer Customer Satisfaction – ETA-9124C1 Form and Instruction UnchangedEmployer Survey
ICR Details
1205-0040 202605-1205-001
Active 202401-1205-001
DOL/ETA
Senior Community Service Employment Program (SCSEP)
Revision of a currently approved collection   No
Regular
Approved with change 05/21/2026
Retrieve Notice of Action (NOA) 05/19/2026
OMB is approving this collection for one year. Afterwards, ETA should resubmit the full package for notice and comment, incorporating all new burden hours.
  Inventory as of this Action Requested Previously Approved
05/31/2027 36 Months From Approved 07/31/2027
49,823 0 18,832
21,246 0 2,786
0 0 0

The Senior Community Service Employment Program (SCSEP), is a community service and work-based training program for older workers. The program provides subsidized, work-experience training for low-income persons 55 or older who are unemployed and have poor employment prospects. SCSEP national grants are awarded through a competitive process; state and territorial grants are awarded through a formula outlined in the OAA-2016 Section 506 (b-c). The dual goals of the program are to promote useful community service employment activities and to move SCSEP participants into unsubsidized employment, so that they can achieve economic self-sufficiency. The Department is required to collect the information in order to comply with the OAA statutory and regulatory requirements. The information is also necessary for grantee performance accountability and program management.

PL: Pub.L. 114 - 144 500-518 Name of Law: Older Americans Act Reauthorization Act of 2016
  
PL: Pub.L. 116 - 131 401 Name of Law: Supporting Older Americans Act of 2020

Not associated with rulemaking

  88 FR 51858 08/04/2023
89 FR 27802 04/18/2024
Yes

  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 49,823 18,832 0 30,991 0 0
Annual Time Burden (Hours) 21,246 2,786 0 18,460 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
As part of this renewal request, ETA has added back in the Data Collection Instrument (Form ETA-9191) which has increased the burden from the previous revision request. The burden for the Customer Satisfaction Surveys (Form ETA-9124 series) has decreased slightly due to 1) the removal of the pilot versions of the survey, and 2) a decrease in the number of respondents. SCSEP grantees are required by the OAA to pay the minimum wage within the state or locality where their authorized positions are awarded. The applicable minimum wage determines how many participants the grantees can enroll. Increasing minimum wages at the state and local level have resulted in fewer modified positions each year, which, in turn, means fewer host agencies and employers each year. As a result, the number of potential respondents for each of the surveys has declined.

$0
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Patrice Gibson 202 693-0158 [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.
05/19/2026