Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit

OMB: 1205-0371

IC ID: 43791

Information Collection (IC) Details

View Information Collection (IC)

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA-9059 Verification Results: Audit Summary Worksheet, for SWA Internal Unse Only ETA Form 9059 Verification Results (Rev F7-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9061 Individual Characteristics Form ETA Form 9061- ICF (6 & F7-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9061 Spanish Version Individual Characteristics Form, Spanish Version ETA Form 9061- ICF Spanish Version (6 & F7-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9065 Agency Declaration of Verificatino Results, Optional ETA Form 9065 ADVR (Rev. F6-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9062 Conditinoal Certification ETA Form 9062 Conditional Certification (Rev F6-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9058 Certificaiton Workload and Characteristics of Certified Individuals: Consolidated WOTC Rept No. 1 ETA From 9058 - Report 1 Certification Wrkload & Characts Cert Individuals (COF 6-25-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9057 Conditional Certifications Issued: Summary Worksheet, for SWA Internal Use Onlty ETA Form 9057 Conditional Certifications Issued (Rev. F6-07).doc Yes Yes Fillable Fileable
Form and Instruction ETA-9063 Employer Certification, Optional ETA Form 9063 Certification (Rev F6-07).doc Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

990,052 0
   
State, Local, and Tribal Governments
 
   50 %

  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 2,421,028 0 0 0 0 2,421,028
Annual IC Time Burden (Hours) 848,325 0 432,957 0 0 415,368
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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