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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:
1205-0371
ICR Reference No:
201604-1205-005
Status:
Historical Active
Previous ICR Reference No:
201502-1205-006
Agency/Subagency:
DOL/ETA
Agency Tracking No:
012-05-01-02-02-2025-00.
Title:
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
05/13/2016
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/17/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/10/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2016
6 Months From Approved
08/31/2018
Responses
5,840,620
0
2,420,624
Time Burden (Hours)
1,960,774
0
847,445
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Emergency Justfication:
The U.S. Department of Labor’s 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..
Authorizing Statute(s):
PL:
Pub.L. 101 - 508 11405(c)
Name of Law: Omnibus Budget Reconciliation Act of 1989
PL:
Pub.L. 97 - 34 261(f)(2)
Name of Law: Economic Recovery Act of 1981
PL:
Pub.L. 97 - 248 233(e)
Name of Law: Tax Equity and Fiscal Responsibility Act of 1982
PL:
Pub.L. 98 - 369 1041(b)
Name of Law: Tax Equity and Fiscal Responsibility Act of 1982
PL:
Pub.L. 99 - 514 1701(d)
Name of Law: Tax Equity and Fiscal Responsibility Act of 1982
Citations for New Statutory Requirements:
PL: Pub.L. 114 - 113 171 Name of Law: Protecting Americans from Tax Hikes Act of 2015 (PATH Act)
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Individual Characteristics
ETA 9061 Spanish Version, ETA 9061, ETA 9062
Individual Characteristics Form, Spanish Version
,
Individual Characteristics Form
,
Conditional Certification
Qualified Long-term Unemployment Recipient (LTUR)
ETA 9175
LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
ETA 9058, ETA 9065, ETA 9063, ETA 9062, ETA 9061
Agency Declaration of Verificatino Results
,
Employer Certification
,
Individual Characteristics Form
,
Conditional Certification
,
Certification Workload and Characteristics of Certifed Individuals
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
5,840,620
2,420,624
95,741
0
3,324,255
0
Annual Time Burden (Hours)
1,960,774
847,445
16,276
0
1,097,053
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
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.
Annual Cost to Federal Government:
$11,480
Does this IC contain surveys, censuses, or employ statistical methods?
No
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:
Walter Parker 202 693-2778 parker.walter@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:
05/10/2016
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