View Information Collection (IC)

View Information Collection (IC)

IC Title:	Reporting Requirements for Tribal Government Grantees, Adult and Youth Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 652 et al

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9085	SUpplemental Youth Services Report	9085 SYSP report form W Highlights.pdf		Yes	Yes	Fillable Fileable
Form	ETA-9084	Comprehensive Services Quarterly Performance Report	9084 CSP report form 1205-0422.pdf		Yes	Yes	Fillable Fileable
Instruction			1205-0422 SPIR instructions final.doc		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	15,175	0	0	-1,899	17,074	0
Annual IC Time Burden (Hours)	58,173	0	0	-15,792	73,965	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Disclosure Statement in BearTracks System	1205-0422 Bear Tracks system privacy statement.doc	03/12/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.