View Information Collection (IC)

View Information Collection (IC)

IC Title:	Prisoner Reentry Initiative (PRI) Quarterly Reporting System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9140	Quarterly Report Form	Quarterly Performance Report PRI Grant ETA-9140.pdf		Yes	Yes	Fillable Fileable
Other-privacy act notification			Privacy Act Notification screen from PRI Web.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: DOL/ETA-15	FR Citation: 68 FR 16898

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

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	160	0	0	-144	0	304
Annual IC Time Burden (Hours)	5,120	0	0	256	0	4,864
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
ETA 9140	Annotated Sample Form ETA-9140.pdf	09/09/2015

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