Benefits Timeliness and Quality Review System

Forms and Documents

Document Name	Status
Form ETA-9050 Benefits Timeliness and Quality Review System Form and Instruction	Modified
ETHand401_4th_s05.pdf Supplementary Document	2007-11-01
Suppstmnt_1205-0359_final 9 27 07.DOC Supporting Statement B	2007-10-15
Suppstmnt_1205-0359_final 9 27 07.DOC Supporting Statement A	2007-10-15

IC Document Collections

IC ID	Document Title	Status
13147	Benefits Timeliness and Quality Review System Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0359	ICR Reference No: 200710-1205-002
Status: Historical Active	Previous ICR Reference No: 200701-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-09-2035-00
Title: Benefits Timeliness and Quality Review 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: 11/30/2007
	Date Received in OIRA: 11/13/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved	11/30/2007
Responses	28,912	0	28,912
Time Burden (Hours)	37,532	0	38,168
Cost Burden (Dollars)	0	0	0

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Abstract: These reports provide data necessary to monitor state performance in administration of Unemployment Insurance as mandated by the Secretary of Labor.

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Authorizing Statute(s): PL: Pub.L. 109 - 91 303(a)(1) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 41355	07/27/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 63929	11/13/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Benefits Timeliness and Quality Review System	ETA-9057, ETA-9050, ETA-9056, ETA-9051, ETA-9052, ETA-9054, ETA-9055, ETA 9056	First Payment Lapse Report ,   Continued Weeks Compensated Time Lapse ,   Appeals Case Aging ,   Lower Authority Appeals Quality Review ,   Nonmonetary Determination Quality Review ,   Nonmonetary Determination Quality Review ,   Nonmonetary Determination Time Lapse Detection Date ,   Appeals Time Lapse

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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	28,912	28,912	0	0	0	0
Annual Time Burden (Hours)	37,532	38,168	0	-636	0	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: Cutting Redundancy

Short Statement: ETA Form 9053, a previous form, was eliminated, resulting in a burden reduction of 636 hours.

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Annual Cost to Federal Government: $322,702

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 11/13/2007

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