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Indian and Native American Welfare-to-Work Program - Report Forms and Instructions
Indian and Native American Welfare-to-Work Program - Report Forms and Instructions
OMB: 1205-0386
IC ID: 38398
OMB.report
DOL/ETA
OMB 1205-0386
ICR 200409-1205-006
IC 38398
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Indian and Native American Welfare-to-Work Program - Report Forms and Instructions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA-9069
Yes
Yes
Form
ETA-9069-1
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
40
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
3 %
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
6,920
0
0
0
0
6,920
Annual IC Time Burden (Hours)
22,680
0
0
0
0
22,680
Annual IC Cost Burden (Dollars)
396,000
0
0
0
0
396,000
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.