PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Certification Workload and Characteristic of Certified Individuals
Modified
424
424
0
Form
ETA-9058
Certification Workload and Characteristic of Certified Individuals
Form
ETA-9065
Audit Summary Worksheet
Individual Characteristics
Modified
9185562
3031235
0
Form
ETA-9061
Individual Characteristics Form (ICF)
Form
ETA-9062
Conditional Certification Form (CC)
Form
ETA-9198
Employer Representative Declaration
Form
ETA-9061
Individual Characteristics Form (Spanish)
Qualified Long-term Unemployment Recipient (LTUR)
Modified
233160
39637
0
Form
ETA-9175
LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM Work Opportunity Tax Credit (WOTC) Program
Work Opportunity Tax Credit (WOTC)
Modified
9185562
7134120
0
Form
ETA-9062
Conditional Certification Work Opportunity Tax Credit
Form
ETA-9063
Employer Certification Work Opportunity Tax Credit
Form
ETA-9061
Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Form
ETA-9175
LONG-TERM UNEMPLOYMENT RECIPIENT (LTUR) SELF-ATTESTATION FORM (SAF)
Form
ETA-9198
Employer Representative Declaration
Form
ETA-9061
Individual Characteristics Form (Spanish)
Total burden requested under this ICR:
18604708
10205416
0
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