Information Collection

Indian and Native American Welfare-to-Work Program - Report Forms and Instructions

IC 38398 under ICR 200409-1205-006 · OMB 1205-0386.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

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-9069				Yes	Yes
Form	ETA-9069-1				Yes	Yes

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,920	6,920
Annual IC Time Burden (Hours)	22,680	22,680
Annual IC Cost Burden (Dollars)	396,000	396,000

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.