View Information Collection (IC)

View Information Collection (IC)

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA 9065 Agency Declaration of Verificatino Results WOTC_ETA_FORM_9065 - Rev June 2012.pdf Yes Yes Paper Only
Form and Instruction ETA 9063 Employer Certification ETA Form 9063 (Exp 6-30-15 F7-19-12) AY (C) Fnl 7-23-12).doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9061 Individual Characteristics Form ETA Form 9061 3 4 2013.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9062 COnditional Certification ETA Form 9062 3 4 2013.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9058 Certification Workload and Characteristics of Certifed Individuals ETA Form 9058 - Report 1 3 4 2013.doc Yes Yes Fillable Fileable Signable
Other-TEGL TEGL_34_12.pdf Yes Yes Fillable Fileable

Workforce Management Training and Employment

DOL/ETA-15  75 FR 6884

52 0
   
State, Local, and Tribal Governments
 
   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 1,430,624 0 0 0 0 1,430,624
Annual IC Time Burden (Hours) 520,745 0 0 0 0 520,745
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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