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View Information Collection (IC)
View Information Collection (IC)
IC Title:
ETA Reporting Requirements for Programs reporting on ETA 9130
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 683.150
20 CFR 683.750
20 CFR 681.430
29 CFR 95.52
29 CFR 97.41
20 CFR 683.200
20 CFR 683.300
20 CFR 683.730
20 CFR 683.740
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 9130
Financial Report Form, Basic
Copy of 150331 - ETA-9130 - Basic (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (A)
Financial Report Form, Statewide Youth
Copy of 150331 - ETA-9130 (A) - Statewide Youth (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (B)
Financial Report Form, Local Youth
Copy of 150331 - ETA-9130 (B) - Local Youth (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (C)
Financial Report Form, Statewide Adult
Copy of 150331 - ETA-9130 (C) - Statewide Adult (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (D)
Financial Report Form, Local Adult
Copy of 150331 - ETA-9130 (D) - Local Adult (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (E)
Financial Report Form, Statewide Dislocated Worker
Copy of 150331 - ETA-9130 (E) - Statewide Dislocated Worker (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (F)
Financial Report Form, Local Dislocated Worker
Copy of 150331 - ETA-9130 (F) - Local Dislocated Worker (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (H)
Financial Report Form, Statewide Rapid Response
Copy of 150331 - ETA-9130 (H) - Statewide Rapid Response (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (I)
Financial Report Form, Employment Services Unemployment Insurance
Copy of 150331 - ETA-9130 (I) - Employment Services Unemployment Insurance (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (J)
Financial Report Form, National Farmworker Jobs Program
Copy of 150331 - ETA-9130 (J) - National Farmworker Jobs Program (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (K)
Financial Report Form, Senior Community Service Employment Program
Copy of 150331 - ETA-9130 (K) - Senior Community Service Employment Program (Clean).xls
Yes
Yes
Fillable Fileable
Form
ETA 9130 (L)
Financial Report Form, Indian and Native American Program
Copy of 150331 - ETA-9130 (L) - Indian and Native American Program (Clean).xls
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 - Basic Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (A) - Statewide Youth Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (B) - Local Youth Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (D) - Local Adult Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (E) - Statewide Dislocated Worker Instructions (Clean) .docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (H) - Statewide Rapid Response Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (I) - Employment Services Unemployment Insurance Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (J) - National Farmworker Jobs Program Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (K) - Senior Community Service Employment Program Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (L) - Indian and Native American Program Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (F) - Local Dislocated Worker Instructions (Clean).docx
Yes
Yes
Fillable Fileable
Instruction
150331 - ETA-9130 (C) - Statewide Adult Instructions (Clean).docx
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:
848
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
6,784
0
0
3,392
0
3,392
Annual IC Time Burden (Hours)
5,088
3,392
0
0
0
1,696
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Financial Report Form, Basic
Copy of 150331 - ETA-9130 - Basic.xls
04/08/2015
Financial Report, Statewide Yourh
Copy of 150331 - ETA-9130 (A) - Statewide Youth.xls
04/08/2015
Financial Report, Local Youth
Copy of 150331 - ETA-9130 (B) - Local Youth.xls
04/08/2015
Financial Report, Statewide Adults
Copy of 150331 - ETA-9130 (C) - Statewide Adult.xls
04/08/2015
Financial Report, Local Adults
Copy of 150331 - ETA-9130 (D) - Local Adult.xls
04/08/2015
Financiasl Report, Statewide Dislocated Workers
Copy of 150331 - ETA-9130 (E) - Statewide Dislocated Worker.xls
04/08/2015
Financial Report, Local Dislocated Workers
Copy of 150331 - ETA-9130 (F) - Local Dislocated Worker.xls
04/08/2015
Financial Report, Statewide Rapid Response
Copy of 150331 - ETA-9130 (H) - Statewide Rapid Response.xls
04/08/2015
Financial REport, ES Unemployment Insurance
Copy of 150331 - ETA-9130 (I) - Employment Services Unemployment Insurance.xls
04/08/2015
Financial Report, National Farmworkers Jobs Program
Copy of 150331 - ETA-9130 (J) - National Farmworker Jobs Program.xls
04/08/2015
Final Report, SCSP
Copy of 150331 - ETA-9130 (K) - Senior Community Service Employment Program.xls
04/08/2015
Financial Report, Indian and Native American Program
Copy of 150331 - ETA-9130 (L) - Indian and Native American Program.xls
04/08/2015
Instructions, basic
150331 - ETA-9130 - Basic Instructions.docx
04/09/2015
Instructions, Statewide Youth
150331 - ETA-9130 (A) - Statewide Youth Instructions.docx
04/09/2015
Instructions, Local Youth
150331 - ETA-9130 (B) - Local Youth Instructions.docx
04/09/2015
Instructions, Statewide Adults
150331 - ETA-9130 (C) - Statewide Adult Instructions.docx
04/09/2015
Statewide Rapid Response
150331 - ETA-9130 (H) - Statewide Rapid Response Instructions.docx
04/09/2015
Instructions, ES Unemployment Insurance
150331 - ETA-9130 (I) - Employment Services Unemployment Insurance Instructions.docx
04/09/2015
Instructions National Farmworkers
150331 - ETA-9130 (J) - National Farmworker Jobs Program Instructions.docx
04/09/2015
Instructions, SCSP
150331 - ETA-9130 (K) - Senior Community Service Employment Program Instructions.docx
04/09/2015
Instructions, Indian and Native American Program
150331 - ETA-9130 (L) - Indian and Native American Program Instructions.docx
04/09/2015
Instructions, Local Adults
150331 - ETA-9130 (D) - Local Adult Instructions.docx
09/10/2015
Instructions, Statewide Dislocated Workers
150331 - ETA-9130 (E) - Statewide Dislocated Worker Instructions.docx
09/10/2015
Instructions, Dislocated Workers
150331 - ETA-9130 (F) - Local Dislocated Worker Instructions.docx
09/10/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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