Unemployment Insurance State Quality Service Plan

Forms and Documents

Document Name	Status
Form ETA 8623A Unemployment Insurance (UI) State Quality Service Plan (SQSP) Form and Instruction	Modified
Supporting_Statement__for_1205-0132_FINAL_8_22_2011.doc Supporting Statement A	2011-08-23

IC Document Collections

IC ID	Document Title	Status
12980	Unemployment Insurance (UI) State Quality Service Plan (SQSP) Form and Instruction	Modified

ICR Details

OMB Control No: 1205-0132	ICR Reference No: 201107-1205-001
Status: Historical Active	Previous ICR Reference No: 201103-1205-004
Agency/Subagency: DOL/ETA	Agency Tracking No: 012-05-01-05-01-2035-00
Title: Unemployment Insurance State Quality Service Plan
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2011
	Date Received in OIRA: 08/26/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	10/31/2011
Responses	848	0	583
Time Burden (Hours)	2,756	0	1,963
Cost Burden (Dollars)	0	0	0

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Abstract: The State Quality Service Plan is one of several implementing documents for UI PERFORMS, that allows for an exchange of information between the Federal and State partners to enhance the ability of the program to reflect the joint commitment to continuous improvement and client centered services.

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Authorizing Statute(s): US Code: 42 USC 503(a)(b) 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:
	76 FR 25710	05/05/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53492	08/26/2011
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
Unemployment Insurance (UI) State Quality Service Plan (SQSP)	ETA 8623A	State Quality Service Plan

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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	848	583	0	0	265	0
Annual Time Burden (Hours)	2,756	1,963	0	0	793	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 increase in burden hours in this submission reflects an increase in the total number of Corrective Action Plans (CAPs) submitted by State Workforce Agencies (SWAs) in FY 2011. SWAs submit a total of 471 CAPs in FY 2011 for an average of 8.89 CAPs/SWA. This total reflects an increase of 165 CAPs from FY 2008. Additionally, beginning with the FY 2012 SQSP, each state will include in its SQSP submission a corrective action plan to reduce and recover improper payments, conservatively estimated at a maximum of three hours per state per annual submission, or 51 x 3 = 153 hours. This increase was slightly offset by the removal of previously double-counted burden for OMB Standard Forms (minus 273.48 hours).

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Annual Cost to Federal Government: $176,299

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

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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: 08/26/2011

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