View Information Collection Request (ICR) Package

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: 202605-1205-001
Status: Active	Previous ICR Reference No: 202401-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Senior Community Service Employment Program (SCSEP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/21/2026
	Date Received in OIRA: 05/19/2026
Terms of Clearance: 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
Expiration Date	05/31/2027	36 Months From Approved	07/31/2027
Responses	49,823	0	18,832
Time Burden (Hours)	21,246	0	2,786
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	49,823	18,832	30,991
Annual Time Burden (Hours)	21,246	2,786	18,460
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: 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.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Patrice Gibson 202 693-0158 gibson.patrice.a@dol.gov

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