Information Collection

Win Reporting System

IC 120851 under ICR 198012-1205-007 · OMB 1205-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0128 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

WIN REPORTING SYSTEM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ETA-595,	No	No
Form	596, &	No	No
Form	MA 5-97	No	No
Form	ETA 595	No	No
Form	ETA 596	No	No
Form	MA 5-97	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,550,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,838,000	3,838,000
Annual IC Time Burden (Hours)	283,080	283,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.