View Information Collection (IC)

View Information Collection (IC)

IC Title:	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 90

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9142A-1	TAA ON-Line Petition	Changes to TAA On-line Petition to Conform with 2011 Amendments.doc		Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9042	TAA Petition	2011 ETA-9042 - Petition Form.doc		Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9042A	TAA Petition, Spanish Translation	2011 ETA-9042a - Petition Form - Spanish translation.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: 569	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	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	569	0	0	0	0	569
Annual IC Time Burden (Hours)	237	0	0	0	0	237
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
TEGL Operating Instructions October 2011 Amendments	TEGL - Operating Instructions for Implementing the TAA Amendments.pdf	11/18/2011

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