TEN_23-19_Attachment_I.pdf

ETA Advisory File Text

Certification Workload and Characteristics of Certified Individuals Work Opportunity Tax Credit - Report No. 1 U.S. Department of Labor Employment and Training Administration State Quarter Ending Persons are not required to respond to this collection of information unless it displays a currently valid OMB control numbe r. Responden ts obligation to reply to these repo rting requirements is mandatory P.L. 104-188 . Public reporting burden for this collection is estimated to average 1 hour per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this information collection including suggestions for reducing this burden to the U.S. Department of Labor Employment and Training Administration Division of National Programs Too ls Technical Assistance 200 Constitution Ave. NW Room C-4510 Washington D.C. 20210 Paperwork Reduction Project 1205-0371 . OMB Control No. 1205 -0371 Expiration Date PART I. CERTIFICA TION WORKLOAD CERTIFICA TION REQUESTS System Inpu ts CERTIFICA TION REQUESTS System O utputs A Incomp lete Requests B Reque sts Need ing Action C New Reque sts D Total Reque sts to Be Processed E Certified Reque sts F Den ied Reque sts G Incomplt H Reque sts Need ing Action PART II. CHARAC TERISTICS OF CERTIFIED INDI VIDUA LS I By WOTC Target Group a No. of CCs Resulting in Certifications b No. Certified Individuals J By Occupation a No. Certified Individuals J By Occupation Cont. a No. Certified Individuals K By S tarting Hourly Wage a No. Certified Individuals 1.IV-A TAN F Recipient Name -Cod e Name -Code 1. Unde r Fede ral Minimum Wage 2Ba. Veteran Receiving SNAP bene fits V 1. Management Occupations 11 12. Protective Services 33 2. 7.25 - 8.25 2Bb. Disabled Veteran DV 2. Business Financial Operations 13 13. Foo d Prepa ration Serving 35 3. 8.26 8.99 2Bc . DV Unemp loyed for 6 months 14. Bldg. Grounds Cleaning Maintenanc e 37 2Bd . V Unemp loyed for 4 weeks 3. Computer Mathematical 15 15. Persona l Care Service - 39 4. 9.00 - 9.99 2Be . V Unemployed for 6 months 4. Architecture Engineering 17 16. Sales Related Occupations 41 5. 10.00 Higher 3. Ex-Felon 5. Life Physical Social Sciences 19 17. Office Administrative Support 43 6. TOTAL For Qtr. 4. Summe r Youth 6. Commun ity Soc ial Services 21 18. Farming Fishing Forestry 45 5. Designa ted Commun ity Resident 7. Lega l Occupat ions 23 19. Const ruction Extraction 47 6a. Voc. Rehab Referral 8. Educat ion Training Library 25 20. Insta llation Ma intenance Repa ir- 49 6b. Ticket Holder 9. Arts Des ign Ente rtainment Spo rts Med ia Occupat ions 27 21. Product ion Occupat ions 51 7. SNAP Recipient 10. Hea lthca re Practitione r Techn ical 29 22. Transp ortation Mate rial Mov ing Product ion Occupat ions 53 8. SSI Recipient 11. Hea lthca re Suppo rt Occupat ions 31 23. Military Specific Occupations 55 9. Long-term TANF 10. LTUR 11. TOT AL For Qtr. 12. TOTAL YTD 24. Nam e and Title of Respon sible Official 25. Signatu re Title 26. Dat e Signed 27. Total For Qtr. Page 1 of 5 ETA Form 9058 Rev. November 2016 Instructions for Preparing ETA Form 9058 Report 1 Certification Workload and Characteristics of Certified Individuals Work Opportunity Tax Credit Report Introduction. Part I. of this report clarifies and simplifies data reported on certifications issued and provides state workforce agencies SW As workload numbers during each reporting quarter. Part II. continues to collect data on selected characteristics of certified individuals. Form Updates. The Protecting Americans from Tax Hikes Act of 2015 introduced a new WOTC target group the Long-term Unemployment Recipient LTUR see Box 10. Background. The purpose of ETA Form 9058 is to provide SW As with a standardized e- reporting format which accurately reflects program activity levels and outcomes under the W ork Opportunity Tax Credit WOTC . It is important for SWAs to maintain programmatic reporting procedures that account for each tax request IRS Form 8850 received and its subsequent outcome issuance of a tax certification or denial . A properly completed ETA Form 9058 accurately reflects program use and the level of any programmatic backlog that may exist. To ensure that the WOTC Program can be evaluated accurately at the national level it is critical that all SW As report in a standardized manner using the web-based Enterprise Business Service System EBSS Tax Credit Reporting System TCRS . Page 2 of 5 ETA Form 9058 Rev. November 2016 INSTRUCTIONS FOR COMPLETING THIS FORM State. Enter the name of the state submitting ETA Form 9058. Quarter Ending Period. Enter ending date of the quarter for the reported program data. Part I. Certification Workload. SW As must identify from Part I Item F on the previous reporting quarter s ETA Form 9058 the number of requests IRS Form 8850s determined to be incomplete or Needing Action as defined below A Number of Requests Incomplete. Enter the total number of requests IRS Form 8850s received by the SW A prior to the beginning of the current report period but for which no applicant eligibility determination action excluding the 48-hour review was taken. This total is to be entered into Part I Item A of ETA Form 9058. B Number of Requests Needing Action. Enter the total number of requests IRS Form 8850s received by the SW A prior to the beginning of the current report but for which no review and total is to be entered into Part I Item B of recently revised ETA Form 9058. C New Requests. Enter the total number of requests IRS Form 8850s received by the SW A during the current reporting quarter. Some states m ay have received requests IRS Form 8850s that were not previously recorded and or reported on any prior quarterly report ETA 9058 for various reasons. It is Important for the SW A to report all requests IRS Form 8850s received. Therefore any request received outside of the current reporting quarter which has not previously been reported should be included with the number of requests received during the current reporting period. That total should be entered as the number of New Requests . This total is to be entered into Part I Item C of ETA Form 9058. D Total Requests to Be Processed. Enter the sum of Items A B C. This total represents the number of requests IRS Form 8850s received by the SW A which are available to be processed. This total is to be entered under Part I Item D of ETA Form 9058. Note. A denial is a certification request IRS Form 8850 determined by the SW A to be ineligible for the W OTC. E Requests Certified. Enter the total number of W OTC certifications issued during the current report period. F Requests Denied. Enter the total number of requests IRS Form 8850s denied by the SW A during the current report period. Note. A denial is a request IRS Form 8850 determined by the SW A to be ineligible for the W OTC. G Number of Requests Incomplete. Enter the total number of requests IRS Form 8850s received and reviewed by the SW A but which the SW A could neither approve nor deny due to such things as but not limited to the need for additional eligibility documentation for which the SW A has made a formal request to the employer authorized tax consultant or other third party entity ETA Form 9061 not submitted etc. Note. This number will also be entered in Part 1 Item A. of the subsequent quarterly report ETA Form 9058. H Number of Requests Needing Action. Enter the number of requests IRS Form 8850s received by the SW A but for which no review and or action has yet been taken to determine applicant eligibility. Note. This value will also be entered in Part I Item B. of the subsequent quarterly report ETA Form 9058. Part I Item H is the sum of Item D minus Item E minus Item F minus Item G. Part I. Completion Formula A B C D and D E F G H Same as Items A B C D and D-E-F-G H Part II. Characteristics of Certified Individuals by Tax Credit. This part is divided into three sections Section I Section J and Section K . Section I reflects the number of requests IRS Form 8850s certified by the SW A during the current report period by WOTC target groups. Section J reflects the number of requests IRS Form 8850s certified by the SW A during the current report period by occupation. Section K reflects the number of requests IRS Form 8850s certified by the SW A during the current report period by starting hourly wage. Page 3 of 5 ETA Form 9058 Rev. November 2016 Section I. Section I Column a . Enter the total number of certifications issued by the SW As by target group during the current report period which resulted from the issuance of a conditional certification i.e. ETA Form 9062. Section I Column b . Enter the total number of W OTC certifications issued by the SW As by target group during the current report period. Section I Line 1. Enter the total number of W OTC certifications issued by the SW A during the current report period for the IV-A TANF group. Section I Line 2Ba. Enter the total number of W OTC certifications issued by the SW A during the current report period for Veterans receiving SNAP benefits. Section I Line 2Bb. Enter the total number of W OTC certifications issued by the SW A during the current report period for Disabled Veterans receiving compensation for a service-connected disability. Section I Line 2Bc. Enter the total number of W OTC certifications issued by the SW A during the current report period for Disabled Veterans unemployed for 6 months. Section I. Line 2Bd. Enter the total number of W OTC certifications issued by the SW A during the current report period for Veterans unemployed for at least 4 weeks but less than 6 months. Section I. Line 2Be. Enter the total number of W OTC certifications issued by the SW A during the current report period for Veterans unemployed for at least 6 months. Section I. Line 3. Enter the total number of W OTC certifications issued by the SW A during the current report period for Ex-felons. Section I. Line 4. Enter the total number of W OTC certifications issued by the SW A during the current report period for the Summer Youth group Section I Line 5. P.L. 110-28 changed the name of the High-Risk Youth to Designated Community Residents DCRs . Enter the total number of W OTC certifications issued by the SW A during the current report period for DCRs. Section I Line 6a. Enter the total number of W OTC certifications issued by the SW A during the current report period for Vocational Rehabilitation Referrals. Section I Line 6b. Enter the total number of W OTC certifications issued by the SW A during the current report period for ticket holders. e.g. SSDI or Voc. Rehab -- formerly called People with Disabilities . Section I Line 7. Enter the total number of W OTC certifications issued by the SW A during the current report period for SNAP formerly Food Stamps recipients. Section I Line 8. Enter the total number of W OTC certifications issued by the SW A during the current report period for SSI recipients. Section I Line 9. Enter the total number of W OTC certifications issued by the SW A during the current report period for Long-term TANF Recipients. Section I Line 10. Enter the total number of W OTC certifications issued by the SW A during the current report period for Long-term Unemployment Recipients LTURs . Section I Line 11. Enter the sums of columns a and b and also the federal program current Quarter For Qtr. Totals of columns a and b for Column I. By WOTC Target Group and for Column J. By Occupation Line 27. Total For Qtr. and for Column K. By Starting Hourly Wage Line 6 For Qtr. . Note. The first quarterly report of the federal program year October 1-December 31 the totals of Section I Line 11 For Qtr. and Line 12 YTD should be the same. Also the total For Qtr. of Part II Section I Line 12 columns a b should equal the total entered in Part I. Item E. Certified Requests. Section I Line 12. After Quarter 1 for all subsequent quarters enter the cumulative federal program Year-to-Date YTD totals of columns a and b . including totals for Column I Column J and Column K right hand side of this form . Reminder. The first quarterly report of the federal program year October 1- December 31 the totals of Section I Line 11 and Line 12 should be the same. Page 4 of 5 ETA Form 9058 Rev. November 2016 Section J. Section J Column a . Enter the total number of WOTC Certifications issued by the SWA during the current report period By Occupation. Note The total for Section J Column a Line 27 is the sum of the column and must equal the total for Section I Column a b Line 10. The occupational data reported in Boxes 1-23 are derived from the job titles reported on ETA Forms 9061 or 9062. To prepare this report SWAs must use the O NET job families of occupations and their two-digit corresponding codes as illustrated in the following table. O NE T SO C JO B FA MILIES Nam e Co de Nam e Co de Management Occupations 11 Food Preparation Ser ving Related 35 Business Financial Operations 13 Bldg. Grounds Cleaning Maintenance 37 Comp uter Ma thema tica l Occupations 15 Pers onal Care Ser vice 39 Arc hitecture Eng ineeri ng 17 Sales Related Occupations 41 L ife Physical Social Sciences 19 Office Admi nistrative Support 43 Comm unity Social Ser vices 21 Farmi ng Fis hing Forestry 45 Legal Occupations 23 Construction Ext rac tion 47 E ducation Training Library 25 In stallation Maintenance Repair 49 Arts Design Entertainment Sports and Media Occupations 27 Production Occupations 51 Healthcare Practitioner Technical 29 Transportation Ma terial Moving 53 Healthcare Support Occupations 31 Military Speci fic O ccupations 55 Protective Ser vice Occupations 33 Section K Section K Column a . Enter the total number of WOTC certifications issued by the SWA during the current report period By Starting Hourly Wage. Note. The TOTAL For Qtr. for Section K Column a Line 6 is the sum of the column for that quarter and must equal the total for Section I column b Number Certified Individuals Line 11. Convert as follows Unit of Time Calculated Hourly W age Day Amount divided by 8 Week Amount divided by 40 Month Amount divided by 172 24. Name and Title of Responsible Official. Enter the name and title of the authorized signatory official. 25. Signature. Enter the signature of the authorized signatory official. 1 According to the Fair Labor Standards Act FLSA the federal minimum wage is 7.25 per hour effective July 24 2009. Source Wage and Hour Division at the U.S. Department of Labor. Page 5 of 5 ETA Form 9058 Rev. November 2016