Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit Modified 2421028 848325 0 Form and Instruction ETA-9058 Certificaiton Workload and Characteristics of Certified Individuals: Consolidated WOTC Rept No. 1
Form and Instruction ETA-9061 Individual Characteristics Form
Form and Instruction ETA-9061 Spanish Version Individual Characteristics Form, Spanish Version
Form and Instruction ETA-9062 Conditinoal Certification
Form and Instruction ETA-9063 Employer Certification, Optional
Form and Instruction ETA-9065 Agency Declaration of Verificatino Results, Optional
Form and Instruction ETA-9057 Conditional Certifications Issued: Summary Worksheet, for SWA Internal Use Onlty
Form and Instruction ETA-9059 Verification Results: Audit Summary Worksheet, for SWA Internal Unse Only
Total burden requested under this ICR: 2421028 848325 0  
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