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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1205-0040
ICR Reference No:
201203-1205-010
Status:
Historical Active
Previous ICR Reference No:
201103-1205-009
Agency/Subagency:
DOL/ETA
Agency Tracking No:
Title:
Senior Community Service Employment Program Performance Measurement System
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/29/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/29/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2015
36 Months From Approved
04/30/2014
Responses
374,279
0
374,279
Time Burden (Hours)
53,346
0
51,179
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection contains program performance reports required for monitoring the Senior Community Service Employment Program (SCSEP). The current request is for an extension with the addition of a request for approval of an additional participant data indicator: participants' volunteer efforts.
Authorizing Statute(s):
PL:
Pub.L. 109 - 365 501-518
Name of Law: Older Americans Act Amendments of 2006
Citations for New Statutory Requirements:
PL: Pub.L. 109 - 365 513 Name of Law: Older Americans Act Amendments of 2006
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1205-AB60
Final or interim final rulemaking
77 FR 4654
01/31/2012
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
SCSEP Community Service Assignment Form (National)
ETA 9121
SPARQ Community Service Assignment Form
SCSEP Community Service Assignment Form (State)
ETA 9121
SPARQ Community Service Form
SCSEP Employer and Host Agency Customer Satisfaction Surveys
ETA 9124C, ETA 9124B, ETA-9124B
Host Agency Customer Satisfaction Survey
,
Employer Customer Satisfaction Survey
,
Host Agency Survey - Customer Satisfaction
SCSEP Equitable Distribution Report
ETA-8705
Equitable Distribution Report
SCSEP Exit Form (National)
ETA-9123
SPARQ Exit Form
SCSEP Exit Form (State)
ETA 9123
SPARQ Exit Form
SCSEP Four-Year State Strategy
SCSEP Participant Customer Satisfaction Survey
ETA-9124
SCSEP Participant Survey - Customer Satisfaction
SCSEP Participant Data Form (National)
ETA 9120
SPARQ Participant Form
SCSEP Participant Data Form (State)
ETA 9120
SPARQ Participant Form
SCSEP Unsubsidized Employment Form (National)
ETA-9122
SCSEP Unsubsidized Employment Form
SCSEP Unsubsidized Employment Form (State)
ETA-9122
SCSEP Unsubsidized Employment Form
ICR Summary of Burden
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
374,279
374,279
0
0
0
0
Annual Time Burden (Hours)
53,346
51,179
0
1,000
1,167
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The overall burden has increased slightly to 53,346 hours due to added burden for the Exit Form ETA-9123 - which collects data for the added indicator on volunteer work, and a calculation adjustment for one of the forms from 6 minutes to 10 minutes in burden (ETA-9124A). The federal cost burden increased to $83,434 due in part to federal wage updates and because of the added program participants. In addition, note that ROCIS now also reflects $2,900,000 in annual contractor costs (not included in ROCIS in the previous submission), for a total of $2,984,573.
Annual Cost to Federal Government:
$29,083,434
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Bonnie Naradzay 202-693-3675 Naradzay.Bonnie@dol.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
01/26/2012
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