Information Collection

TAA Program Reserve Funding Request Form

IC 46190 under ICR 200611-1205-010 · OMB 1205-0275.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0275 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9117 Trade Adjustment Assistance Program Reserve Funding Request Form TAA Program Reserve Funding Request Form	Form and Instruction
ETA-9117 Trade Adjustment Assistance Program Reserve Funding Requ TAA form ETA-9117 1205-0275.pdf	Form and Instruction

IC Title:

TAA Program Reserve Funding Request Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	ETA-9117				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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