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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Individual Characteristics
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA-9061
Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Attachment 5A- ETA FORM 9061 (ENGLISH).pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-9062
Conditional Certification Work Opportunity Tax Credit
Attachment 6A- ETA Form 9062, Conditional Certification.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-9061
Individual Characteristics Form (ICF) Work Opportunity Tax Credit
Attachment 5A- ETA FORM 9061 (SPANISH).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:
DOL/ETA-15
FR Citation:
75 FR 6884
Number of Respondents:
5,630,766
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
5,630,766
0
0
3,715,945
0
1,914,821
Annual IC Time Burden (Hours)
1,858,153
0
0
1,226,262
0
631,891
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.