Participant Data Collection Burden

Prisoner Reentry Initiative (PRI) Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0455 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9140 Participant Data Collection Burden Form and Instruction
ETA 9140 New Participant Case Participant New Case screen shots.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Participant Data Collection Burden	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 37.37

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9140	New Participant Case	Participant New Case screen shots.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,610	6,610
Annual IC Time Burden (Hours)	11,898	11,898
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.