Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification Workload and Characteristic of Certified Individuals New 208 208 0 Form ETA-9058 Certification Workload and Characteristic of Certified Indivduals
Individual Characteristics Modified 5630766 1858153 0 Form and Instruction ETA-9061 Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Form and Instruction ETA-9062 Conditional Certification Work Opportunity Tax Credit
Form and Instruction ETA-9061 Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Qualified Long-term Unemployment Recipient (LTUR) Modified 62459 10618 0 Form and Instruction ETA-9175 LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM Work Opportunity Tax Credit (WOTC) Program
Work Opportunity Tax Credit (WOTC) Modified 7833595 2585226 0 Form and Instruction ETA-9061 Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Form and Instruction ETA-9062 Conditional Certification Work Opportunity Tax Credit
Form and Instruction ETA-9063 Employer Certification Work Opportunity Tax Credit
Form and Instruction ETA-9065 Agency Declaration of Verification Results (ADVR) Worksheet
Form and Instruction ETA-9061 Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Total burden requested under this ICR: 13527028 4454205 0  
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