View Information Collection (IC)

View Information Collection (IC)

Petition, ETA 9042 and 9042a, filled out by state/local workforce staff
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 90

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA 9042 Petition ETA-9042 English Petition (2015-08-31).docx Yes Yes Fillable Fileable
Form and Instruction ETA 9042a Petition, in Spanish ETA-9042A Spanish Petition.doc Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

491 0
   
State, Local, and Tribal Governments
 
   80 %

  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 491 0 0 -78 0 569
Annual IC Time Burden (Hours) 41 0 0 -196 0 237
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
TEGL Operating Instructions October 2011 Amendments TEGL - Operating Instructions for Implementing the TAA Amendments.pdf 11/18/2011
Revised Petition Forms to File for Trade Adjustment Assistance Revised Petition Forms to File for Trade Adjustment Assistance.doc 11/29/2011
9042 ETA-9042 English Petition mark-up for 2015.doc 07/27/2015
9042A ETA-9042A Spanish Petition mark-up for 2015.doc 07/27/2015
ETA 9042 ETA-9042 reversion changes to online petition screens.doc 03/18/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.