Re-employment Services Plan Narrative and Progress Report

ICR 200412-1205-002

OMB: 1205-0424

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1205-0424 200412-1205-002
Historical Active 200110-1205-002
DOL/ETA
Re-employment Services Plan Narrative and Progress Report
Revision of a currently approved collection   No
Regular
Approved with change 03/22/2005
Retrieve Notice of Action (NOA) 12/20/2004
Approved. ETA must follow-up within 7 days with concrete examples of how they will use the data collected from States for the reemployment services grants.
  Inventory as of this Action Requested Previously Approved
03/31/2008 03/31/2008 04/30/2005
378 0 108
3,172 0 3,024
0 0 0

DOL/ETA is seeking to extend OMB approval of 1205-0424 which is a request to collect a grant annual plan narrative and one progress report as part of the requirements for receiving Reemployment Services funding.

None
None


No

1
IC Title Form No. Form Name
Re-employment Services Plan Narrative and Progress Report ETA-9100

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 378 108 0 0 270 0
Annual Time Burden (Hours) 3,172 3,024 0 0 148 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/20/2004


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