ETA-9042a and 9042A-1 Petition, individuals (three or more workers)

Investigative Data Collection Requirements for the Trade Act of 1974 as amended by the Trade Act of 2002

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0342 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9042a ETA-9042a and 9042A-1 Petition, individuals (three or more workers) Form and Instruction
ETA 9042a Petition for Trade Adjustment Assistance and Alternative ETA-9042a Revised TAA and ATAA petition 12-12-08.docm Form and Instruction
ETA 9042a-1 (Spani Petition for Trade Adjustment Assistance and Alternative ETA 9042a-1 Revised TAA and ATAA petition_Spanish 12-12-08.docm Form and Instruction
ETA 9042a (on-line Petition for Trade Adjustment Assistance and Alternative ETA-9042a Revised TAA and ATAA petition 12.10.08 (online version).doc Form and Instruction

Information Collection (IC) Details

IC Title:	ETA-9042a and 9042A-1 Petition, individuals (three or more workers)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 90

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9042a	Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance	ETA-9042a Revised TAA and ATAA petition 12-12-08.docm	Yes	No	Fillable Printable
Form and Instruction	ETA 9042a-1 (Spanish)	Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance (Spanish)	ETA 9042a-1 Revised TAA and ATAA petition_Spanish 12-12-08.docm	Yes	No	Fillable Printable
Form and Instruction	ETA 9042a (on-line)	Petition for Trade Adjustment Assistance and Alternative Trade Adjustment Assistance (on-line)	ETA-9042a Revised TAA and ATAA petition 12.10.08 (online version).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: 594	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	594	-2,436	3,030
Annual IC Time Burden (Hours)	248	-27,267	27,515
Annual IC Cost Burden (Dollars)	0	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.