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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:
0461-0408
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
2 CFR 2900
20 CFR 683.150, 200, 300
2 CFR 200
20 CFR 683.730, 740, 750
20 CFR 681.430
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA 9130 (Basic)
Financial Status Report
160523 - ETA-9130 - Basic.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 A
Employment Services - Unemployment Insurance Financial Report
160523 - ETA-9130 (A) - Statewide Youth.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 B
Local Youth
160523 - ETA-9130 (B) - Local Youth.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 C
Statewide Adult
160523 - ETA-9130 (C) - Statewide Adult.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 D
Local Adult
160523 - ETA-9130 (D) - Local Adult.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 E
Statewide Dislocated Worker
160523 - ETA-9130 (E) - Statewide Dislocated Worker.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 F
Local Dislocated Worker
160523 - ETA-9130 (F) - Local Dislocated Worker.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 G
National Dislocated Worker Grants
160523 - ETA-9130 (G) - National Dislocated Worker Grants.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 H
Statewide Rapid Response
160523 - ETA-9130 (H) - Statewide Rapid Response.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 I
Employment Services & Unemployment Insurance
160523 - ETA-9130 (I) - Employment Services & Unemployment Insurance.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 J
National Farmworker Jobs Program
160523 - ETA-9130 (J) - National Farmworker Jobs Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 K
Senior Community Service Employment Program
160523 - ETA-9130 (K) - Senior Community Service Employment Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 L
Indian and Native American Program
160523 - ETA-9130 (L) - Indian and Native American Program.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9130 M
Trade Adjustment Assistance Program
160523 - ETA-9130 (M) - Trade Adjustment Assistance Program.pdf
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:
20,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
20,000
0
0
0
0
20,000
Annual IC Time Burden (Hours)
15,001
0
1
0
0
15,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Track Changes - ETA 9130 (Basic)
160523 - ETA-9130 - Basic Instructions.doc
05/23/2016
Track Changes - ETA 9130 A
160523 - ETA-9130 (A) - Statewide Youth Instructions.doc
05/23/2016
Track Changes - ETA 9130 B
160523 - ETA-9130 (B) - Local Youth Instructions.doc
05/23/2016
Track Changes - ETA 9130 C
160523 - ETA-9130 (C) - Statewide Adult Instructions.doc
05/23/2016
Track Changes - ETA 9130 D
160523 - ETA-9130 (D) - Local Adult Instructions.doc
05/23/2016
Track Changes - ETA 9130 E
160523 - ETA-9130 (E) - Statewide Dislocated Worker Instructions.doc
05/23/2016
Track Changes - ETA 9130 F
160523 - ETA-9130 (F) - Local Dislocated Worker Instructions.doc
05/23/2016
Track Changes - ETA 9130 G
160523 - ETA-9130 (G) - Natl Disl. Worker Grants Instructions.doc
05/23/2016
Track Changes - ETA 9130 H
160523 - ETA-9130 (H) - Statewide Rapid Response Instructions.doc
05/23/2016
Track Changes - ETA 9130 I
160523 - ETA-9130 (I) - Empl. Serv. and Unempl. Ins. Instructions.doc
05/23/2016
Track Changes - ETA 9130 J
160523 - ETA-9130 (J) - Natl Farmworker Jobs Prog. Instructions.doc
05/23/2016
Track Changes - ETA 9130 K
160523 - ETA-9130 (K) - Sen. Comm. Serv. Empl. Prog. Instructions.doc
05/23/2016
Track Changes - ETA 9130 L
160523 - ETA-9130 (L) - Indian and Native Am. Prog. Instructions.doc
05/23/2016
Track Changes - ETA 9130 M
160523 - ETA-9130 (M) - Trade Adj. Assistance Prog. Instructions.doc
05/23/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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