View Information Collection (IC)

View Information Collection (IC)

IC Title:	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	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 671.140

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			OJT_NEG_Implementation_Plan[1] from 2010 submission.doc		Yes	Yes	Fillable Fileable
Form	ETA 9103	Planning Form (Regular)	Planning Form 9103-1 07-31-2013.doc		Yes	Yes	Fillable Fileable
Form	ETA-9103-2a	Planning Form (Disaster-Temporary Jobs)	Planning Form 9103-2a 7-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9103-2b	Planning Form (Disaster Workforce Development Services)	Planning Form 9103-2b 07-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9103-3	Planning Form (Dual Enrollment)	Planning Form 9103-3 07-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9103-4	Planning Form (Trade Act Health Insurance)	Planning Form 9103-4 7-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9104	Quarterly Performance Report	Quarterly Performance Report Form 9104 7-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9105	Employer Data Form	Employer Data Form 9105 07-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9106	Project Synopsis Form	Project Synopsis Form 9106 7-31-13.doc		Yes	Yes	Fillable Fileable
Form	ETA-9107	Project Operator Data Form	Project Operator Data Form 9107 07-31-13.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: 150	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	1,485	0	0	-50	0	1,535
Annual IC Time Burden (Hours)	1,006	0	0	-25	0	1,031
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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