View Information Collection (IC)

View Information Collection (IC)

IC Title:	Petition, ETA-9042 and 9042a, filled out by company or union officials/representatives	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 9042	Petition	ETA-9042.doc		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042a	Petition in Spanish	ETA-9042a (Spanish).doc		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042	Petition	ETA-9042 reversion changes to online petition screens.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: 1,785	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	1,785	0	0	0	0	1,785
Annual IC Time Burden (Hours)	744	0	0	0	0	744
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.