Information Collection

Worker Adjustment Program Annual Program Report And Worker Adjustment Program Quarterly Financial Report

IC 121294 under ICR 199212-1205-001 · OMB 1205-0274.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

WORKER ADJUSTMENT PROGRAM ANNUAL PROGRAM REPORT AND WORKER ADJUSTMENT PROGRAM QUARTERLY FINANCIAL REPORT

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9019				No	No
Form	ETA 9020				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 704

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	Previously Approved
Annual Number of Responses for this IC	704	704
Annual IC Time Burden (Hours)	67,430	67,430
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.