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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Workforce Innovation and Opportunity 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 687.150
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 9103-1
Planning Form (Regular)
Planning Form ETA 9103-1_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9103-2a
Planning Form (Disaster-Temporary Jobs)
Planning Form ETA 9103-2a_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9103-2b
Planning Form (Disaster Workforce Development Services)
Planning Form ETA 9103-2b_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9103-3
Planning Form (Dual Enrollment)
Planning Form ETA 9103-3_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9104
Quarterly Performance Report
Quarterly Performance Report Form ETA 9104_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9105
Employer Data Form
Employer Data Form ETA 9105_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9106
Project Synopsis Form
Project Synopsis Form ETA 9106_FINAL 9.5.19.doc
Yes
Yes
Fillable Fileable
Form
ETA 9107
Project Operator Data Form
Project Operator Data Form ETA 9107_FINAL 9.5.19.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:
159
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
1,587
0
0
0
0
1,587
Annual IC Time Burden (Hours)
1,086
0
0
0
0
1,086
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.