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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
ETA Reporting Requirements for Programs reporting on ETA 9130
Agency IC Tracking Number:
0461-0408
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
2 CFR 200
2 CFR 2900
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA 9130
Financial Status Report
ETA-9130 - Basic.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 A
Employment Services - Unemployment Insurance Financial Report
ETA-9130 (A) - Statewide Youth.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 B
Local Youth
ETA-9130 (B) - Local Youth.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 C
Statewide Adult
ETA-9130 (C) - Statewide Adult.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 D
Local Adult
ETA-9130 (D) - Local Adult.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 E
Statewide Dislocated Worker
ETA-9130 (E) - Statewide Dislocated Worker.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 F
Local Dislocated Worker
ETA-9130 (F) - Local Dislocated Worker.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 G
National Dislocated Worker Grants
ETA-9130 (G) - National Dislocated Worker Grants.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 H
Statewide Rapid Response
ETA-9130 (H) - Statewide Rapid Response.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 I
Employment Services & Unemployment Insurance
ETA-9130 (I) - Employment Services & Unemployment Insurance.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 J
National Farmworker Jobs Program
ETA-9130 (J) - National Farmworker Jobs Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 K
Senior Community Service Employment Program
ETA-9130 (K) - Senior Community Service Employment Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 L
Indian and Native American Program
ETA-9130 (L) - Indian and Native American Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 M
Trade Adjustment Assistance Program
ETA-9130 (M) - Trade Adjustment Assistance Program.pdf
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:
20,000
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
20,000
0
0
16,608
0
3,392
Annual IC Time Burden (Hours)
15,000
0
0
13,304
0
1,696
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
9130 Edits Summary
151211 - 9130 Edits Summary.docx
12/14/2015
Package Edits
151211 - Final ETA- 9130 PRA Package Edits (Not to be published in FR.).docx
12/14/2015
ETA-9130 Basic (Track Changes)
REVISED - 160122 - Final ETA-9130 - Basic Instructions (With Track Changes).docx
03/02/2016
ETA-9130 B (Track Changes)
REVISED - 160201 - Final ETA-9130 (B) - Local Youth Instructions (With Track Changes).docx
03/02/2016
ETA-9130 D (Track Changes)
REVISED - 160201 - Final ETA-9130 (D) - Local Adult Instructions (With Track Changes).docx
03/02/2016
ETA-9130 F (Track Changes)
REVISED - 160201 - Final ETA-9130 (F) - Local Dislocated Worker Instructions (With Track Changes).docx
03/02/2016
ETA-9130 G (Track Changes)
REVISED - 160122 - Final ETA-9130 (G) - National Dislocated Worker Grants Instructions (With Track Changes).docx
03/02/2016
ETA-9130 H (Track Changes)
REVISED - 160201 - Final ETA-9130 (H) - Statewide Rapid Response Instructions (With Track Changes).docx
03/02/2016
ETA-9130 L (Track Changes)
REVISED - 160122 - Final ETA-9130 (L) - Indian and Native American Program Instructions (With Track Changes).docx
03/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.