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View Information Collection (IC) List
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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:
201201-1205-001
Status:
Historical Active
Previous ICR Reference No:
201005-1205-011
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:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/18/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/19/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2015
36 Months From Approved
06/30/2012
Responses
2,420,624
0
2,527,028
Time Burden (Hours)
847,445
0
883,305
Cost Burden (Dollars)
0
0
0
Abstract:
Tax Credit Program Administration: Data and information provided by the states on these forms are used for program planning, evaluation of Program performance and outcomes through states' quarterly report and for oversight/verification activities as mandated by the Omnibus Budget Reconciliation Act of 1990 (P.L. 101-508) Section 11405(c), which extended indefinitely the $5 million set-aside for testing whether individuals certified as members of WOTC targeted groups are eligible for certification (including use of statistical sampling techniques). The current request includes veterans' legislation changes due to requirements in the VOW to Hire Heroes Act of November 2011.
Authorizing Statute(s):
PL:
Pub.L. 109 - 432 105
Name of Law: Tax Relief and Health Care Act of 2006
PL:
Pub.L. 101 - 508 11405(c)
Name of Law: Omnibus Budget Reconciliation Act of 1989
PL:
Pub.L. 110 - 28 8211
Name of Law: Small Business and Work Opportunity Tax Act
PL:
Pub.L. 112 - 56 261
Name of Law: VOW to Hire Heroes Act of 2011
Citations for New Statutory Requirements:
PL: Pub.L. 112 - 56 261 Name of Law: VOW to Hire Heroes Act of 2011
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
76 FR 55946
09/09/2011
30-day Notice:
Federal Register Citation:
Citation Date:
76 FR 73682
11/29/2011
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Individual Characteristics
ETA 9061, ETA 9061 Spanish version
Individual Characteristics
,
Individual Characteristics, Spanish version
WOTC Self-Attestation Form (ETA-9154)
ETA 9154, Spanish Version, ETA 9154
Youth Self Attestation
,
Youth Self Attestation, Spanish Version
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
ETA 9065, ETA 9061, ETA 9063, ETA 9058, ETA 9062
Agency Declaration of Verificatino Results
,
Individual Characteristics Form
,
Employer Certification
,
Conditional Certification
,
Certification Workload
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
2,420,624
2,527,028
0
-106,000
-404
0
Annual Time Burden (Hours)
847,445
883,305
0
-34,985
-875
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Changes in ROCIS calculations include removal of burden hours associated with the WOTC state plans' requirements. ETA previously required the annual submission of a state plan as a condition for states to receive WOTC funding. However, ETA ended this requirement several years ago and replaced it with a statement of work for the use of WOTC funds by the states. This statement of work is developed by ETA and states do not incur burden hours. In addition, ETA is discontinuing the Youth Self-Attestation Form, ETA Form 9154. This form was used for the ARRA Disconnected Youth WOTC target group, and this category expired on December 31, 2010.
Annual Cost to Federal Government:
$28,189
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:
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:
04/19/2012
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