ETA Advisory File
ETA Advisory
ETA Advisory File Text
P age 1of 5 V U.S. Department Labor Employment and Training Administration ETA Form 9058 Rev. May 2023 OMB Control No. 1205-0371 Expiration Date May 31 2026 Certification Workload and Characteristics of Certified Individuals Work Opportunity Tax Credit - Report No. 1 State Quarter Ending Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Respondents obligation to reply to these reporting 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 Tools Technical Assistance 200 Constitution Ave. NW Room C-4510 Washington D.C. 20210 Paperwork Reduction Act OMB Control No. 1205-0371 . PART I. CERTIFICATION WORKLOAD CERTIFICATION REQUESTS System Inputs CERTIFICATION REQUESTS System Outputs A Incomplete Requests B Requests Needing Action C New Requests C2 Out of State Requests D Total Requests to be Processed E Certified Requests F Denied Requests F1. F2 . F3.G Incomp lete Requests H Requests Needing Action PART II. CHARACTERISTICS OF CERT IFIED INDIVIDUALS I By WOTC Targeted Group 1. IV-A TANF Recipient 2Ba. Veteran Receiving SNAP Benefits V 2Bb. Disabled Veteran DV 2Bc. DV Unemployed for 6 mos 2Bd. V Unemployed for 4 weeks 2Be. V Unemployed for 6 mos 3. Ex-Felon 4. Summer Youth Employee 5. Designated Community Resident 6a. Voc. Rehab VR Referral 6b. Ticket Holder Ticket to Work 7. SNAP Recipient 8. SSI Recipient 9. Long-Term TANF Recipient 10. LTUR 11. TOTAL For Qtr 12. TOTAL YTD a No . of CCs Resulting In Certifications b No. of Ce rtified Individuals J By Occupation Name Code No. 1. Management Occupations 11 2. Business Financial Operations 13 3. Computer Mathematical 15 4. Architecture Engineering 17 5. Life Physical Social Sciences 19 6. Community Social Services 21 7. Legal Occupations 23 8. Education Training Library 25 9. Arts Design Entertainment Sports Media Occupations 27 10. Healthcare Practitioner Technical 29 11. Healthcare Support Occupations 31 a No. of Certified Individuals J By Occupation C ont. Name Code No. 12. Protective Services 33 13. Food Preparation Serving 35 14. Building Grounds Cleaning Maintenance 37 15. Personal Care Service - 39 16. Sales Related Occupations 41 17. Office Administrative Support 43 18. Farming Fishing Forestry 45 19. Construction Extraction 47 20. Installation Maintenance Repair 49 21. Production Occupations 51 22. Transportation Material Moving Production Occupations 53 23. Military Specific Occupations 55 24. TOTAL For Qtr a No. of Certified Individuals K By Starting H ourly Wage Under Federal Minimum Wage 1. 2. At Federal Minimum Wage 3. 7.25 - 9.99 4. 10.00 - 14.99 5. 15.00 - 19.99 6. 20.00 - more 7. TOTAL For Qtr a No. of Certified Individuals 25. Name and Title of Certifying Official 26. Signature 27. Date Page 2 of 5 ETA Form 9058 Rev. Ma y 2023 U.S. Department of Labor Employment and Training Administration Instructions for Preparing Certification Workload and Characteristics of Certified Individuals ETA Form 9058 Report 1 Work Opportunity Tax Credit Introduction. Part I. of t his report clarifies and simplifies data reported on certifications issued and provides state workforce agencies SWAs workload numbers during each reporting quarter. Part II. continues to collect data on selected characteristics of certified individuals. Form Updates. SWAs w ill report on two new metrics in the EBSS tax credit reporting system 1 Out-of- state certification requests received during the reporting period fiscal quarter and 2 Reason for issuing Denial notifications. See Part I. Certification Workload Item C and Item F. Thi s form also contains updated wage bracket information for reporting on new hire hourly wages . S ee Part II. Section K By Starting Hourly Wage. Background. The purpose of ETA Form 9058 is to provide SWAs with a standardized e- reporting format which accurately reflects program activity levels and outcomes under the Work Opportunity Tax Credit WOTC . It is important for SWAs to maintain programmatic reporting procedures that account for each certification request IRS Form 8850 received and its subsequent outcome issuance of a 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 SWAs report in a standardized manner using the web-based Enterprise Business Service System EBSS Tax Credit Reporting System TCRS . U.S. Department of Labor Employment and Training Administration INSTRUCTIONS FOR COMPLETING THIS FORM State. Enter the name of the state of the state workforce agency SWA submitting WOTC Report 1 ETA Form 9058. Quarter Ending . Enter ending date of the fiscal year reporting quarter for the applicable program data i.e. QE 9 30 23 . Pa rt I. Certification Workload. SWAs must identify the reporting status for each certification request IRS Form 8850 included in the SWA s total workload. This includes any requests IRS Form 8850s that the SWA interacted with during the applicable quarter ending. Use the reporting status options for requests as defined below A Number of Requests Incomplete. Enter the total number of requests IRS Form 8850s received by the SWA prior to the beginning of the current report period but for which no applicant eligibility determination action excluding the initial review was taken. Note This value is auto-populated with the value entered for Part I Item G of the previous quarter ending s report on ETA Form 9058. B Number of Requests Needing Action. Enter the total number of requests IRS Form 8850s received by the SWA prior to the beginning of the current report period but for which no review nor eligibility determination was rendered. Note This total is auto-populated with the value entered for Part I Item B of the previous quarter ending s report on ETA Form 9058. C Number of New Requests . Enter the total number of new requests IRS Form 8850s received by the SWA during the current reporting quarter. Note Some SWAs may receive targeted group eligibility verificatio n r equests from other SWAs for individuals who reside and possibly receive public welfare benefits in their state although the employer s business is located in another state per information provided on IRS Form 8850 . These requests are referred to as Out of State OOS certification requests. SWAs should record the number of out-of-state certification requests received in Part I Item C2 . This number should b e i ncluded in the value entered for Item C New Requests. It is Important for SWAs to report all certification requests IRS Form 8850s received. Therefore any requests that were received outside of the current report ing quar ter which have not been previously recorded reported on a prior ETA Form 9058 should be included in t he c ount for Number of New Requests for the applicable quarter ending report for when the certification request is initially reviewed by the SWA . This total new requests and previously uncounted requests should 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 which are available to be processed as of the quarter endi ng dat e. Note This total is auto-tabulated based on the completion formula Item A B C Item D. This value is to be entered under Part I Item D of ETA Form 9058. E Number of Requests Certified. Enter the total number of Employer Certifications ETA Form 9063 issued by the SWA during the current report period. Note This value must match the value entered for Part II Items I 11 J 24 and K 7. F Number of Requests Denied. Enter the total number of requests IRS Form 8850s Denied by the SWA during the current report period. Provide the number of Denials for the F1 thru F3 categories defined below. Note A Denial is a request IRS Form 8850 determined to be ineligible for the WOTC by the SWA. F1. Enter the total number of Denials issued due to failure to meet IRS Form 8850 timely-submission requirement. This number should be reflected in the total value entered for Item F Denied Requests. F2. Enter the total number of Denials issued due to applicant does not meet targeted group s eligibility requirements. This number should be reflected in the total value entered for Item F Denied Requests. F3. Enter the total number of Denials issued due to ineligible rehires applicant previously worked for the employer seeking WOTC certification . This number should be reflected in the total value entered for Item F Denied Requests. G Number of Requests Incomplete. Enter the total number of requests IRS Form 8850s received and reviewed by the SWA during the current report period but for which the SWA could neither certify nor deny by the end of the report period due to such things as but not limited to missing supporting documentation for which the SWA has made a formal request to the employer to obtain missing or incomplete ETA Form 9061 9062 SWA processing delays due to automated system malfunctions etc. Note This value will auto-populate as the value entered in Part I Item A of the subsequent quarter ending report ETA Form 9058. H Number of Requests Needing Action. Enter the number of requests IRS Form 8850s received by the SWA during the current report period but for which no review and or processing action has yet been taken to determine applicant eligibility. This total represents the SWA s existing backlog of pending requests and i s a uto-tabulated based on the following completion formula Item H Item D Item E F G . Note This value will auto-populate as the value entered in Part I Item B of the subsequent quarter ending report ET A F orm 9058. U.S. Department of Labor Employment and Training Administration Part I. Completion Formulas Item A B C Item D same as Items A B C Item D Item D E F G Item H same as Items D-E-F-G Item H Part II. Characteristics of Certified Individuals. SWAs must identify the individual characteristics of the new hire applicant for each Certification issued by the SWA during the current report period. Note Part II is divided into three subsections Section I Section J and Section K . Section I reflects the number of requests IRS Form 8850s certified by the SWA during the current report period by WOTC targeted group. Section J reflects the number of requests IRS Form 8850s certified by the SWA during the current report period by applicant occupation. Section K reflects the number of requests IRS Form 8850s certified by the SWA during the current report period by applicant starting hourly wage. S ection I . Section I Column a . Enter the total number of Certifications issued by the SWA by targeted group during the current report period which resulted from the issuance of a conditional certification i.e. ETA Form 9062. Se ction I Column b . Enter the total number of Certifications issued by the SWA by target ed group during the current report period. Section I Line 1. Enter the total number of Certifications issued by the SWA during the current report period for the Qualified IV-A TANF Recipients. Section I Line 2Ba. Enter the total number of Certifications issued by the SWA during the current report period for Veterans receiving SNAP benefits. Section I Line 2Bb. Enter the total number of Certifications issued by the SWA during the current report period for Disabled Veterans receiving compensation for a service-connected disability. Section I Line 2Bc. Enter the total number of Certifications issued by the SWA during the current report period for Disabled Veterans unemployed for 6 months. Section I Line 2Bd. Enter the total number of Certifications issued by the SWA 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 Certifications issued by the SWA during the current report period for Veterans unemployed for at least 6 months. Section I Line 3. Enter the total number of Certifications issued by the SWA during the current report period for Ex-felons. Section I Line 4. Enter the total number of Certifications issued by the SWA during the current report period for Summer Youth Employees. Section I Line 5. Enter the total number of Certifications issued by the SWA during the current report period for Designated Community Residents DCRs . Section I Line 6a. Enter the total number of Certifications issued by the SWA during the current report period for Vocational Rehabilitation VR Referrals. Se ction I Line 6b. Enter the total number of Certifications issued by the SWA during the current report period for Ticket Holders authorized under the Social Security Administration s Ticket to Work Program . Section I Line 7. Enter the total number of Certifications issued by the SWA during the current report period for SNAP formerly known as Food Stamps recipients. Section I Line 8. Enter the total number of Certifications issued by the SWA during the current report period for SSI recipients. Section I Line 9. Enter the total number of Certifications issued by the SWA during the current report period for Long- term Family Assistance TANF Recipients. Section I Line 10. Enter the total number of Certifications issued by the SWA during the current report period for Long- term Unemployment Recipients LTURs . Section I Line 11. Enter the sums of columns a and b for the current reporting quarter as TOTAL For Qtr. . Note The quarterly totals for Column I. By WOTC Targeted Group Line 11 Column J. By Occupation Line 27 and Column K. By Starting Hourly Wage Li ne 7 must all equal the same value. Note For the first quarter ending report ETA Form 9058 of the federal fiscal year October 1 - December 31 the values for 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. U.S. Department of Labor Employment and Training Administration Section I Line 12. After Quarter 1 for all subs equent quarters enter the cumulative fiscal Year-to-Date YTD totals of columns a and b . Reminder For the first quarterly report of the fiscal year October 1- December 31 the totals of Section I Line 11 and Line 12 should be the same value. USection 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 24 is the sum of the column and must equal the total for Section I Columns a b Line 11 TOTAL For Qtr . The occupational data reported in Section J Boxes 1-23 derive from the job titles reported on ETA Forms 9061 9062. To prepare this report SWAs must use the O NET job families of occupations standard occupation classifications and their two-digit corresponding codes as illustrated in the following table. 24. TOTAL For Qtr . Enter the total number of certifications issued for the current reporting period quarter . O NET SOC JOB FAMILIES Occupation Name Code Management Occupations 11 Business Financial Occupations 13 Computer Mathematical Occupations 15 Architecture Engineering 17 Life Physical Social Sciences 19 Community Social Services 21 Legal Occupations 23 Education Training Library 25 Arts Design Entertainment Sports and Media Occupations 27 Healthcare Practitioner Technical 29 Healthcare Support Occupations 31 Protective Service Occupations 33 Food Preparation Serving Related 35 Bldg. Grounds Cleaning Maintenance 37 Personal Care Service 39 Sales Related Occupations 41 Office Administrative Support 43 Farming Fishing Forestry 45 Construction Extraction 47 Installation Maintenance Repair 49 Production Occupations 51 Transportation Material Moving 53 Military Specific Occupations 55 Section K. Section K Column a . Enter the total number of 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 7 is the sum for that quarter and must be equal to the total for Section I Column b Line 11 Number of Certified Individuals. 31TUFederal Minimum Wage information U3 1T. Convert annual earnings to hourly wages as follows Unit of Time Calculated Hourly Wage Day W eek Month Amount divided by 8 Amount divided by 40 Amount divided by 172 25. Name and Title of Certifying Official. Enter the name and title of the authoriz ed signatory official. 26. Signature. Enter the signature of the authorized s ignatory official. 27. Date. Enter the date of signature.