TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff

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⚠️ Notice: This information collection may be referencing outdated material.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 TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction
ETA-9042a TAA/ATAA Petition ETA-9042a Revised TAA and ATAA petition 12-12-08.docm Form and Instruction
ETA 9042a-1 ETA 9042a-1 petition, Spanish language version ETA 9042a-1 Revised TAA and ATAA petition_Spanish 12-12-08.docm Form and Instruction
ETA-9042a, online TAA/ATAA petition, online version ETA-9042a Revised TAA and ATAA petition 12.10.08 (online version).doc Form and Instruction

Information Collection (IC) Details

IC Title:	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	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 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	TAA/ATAA Petition	ETA-9042a Revised TAA and ATAA petition 12-12-08.docm	Yes	Yes	Fillable Printable
Form and Instruction	ETA 9042a-1	ETA 9042a-1 petition, Spanish language version	ETA 9042a-1 Revised TAA and ATAA petition_Spanish 12-12-08.docm	Yes	Yes	Fillable Printable
Form and Instruction	ETA-9042a, online version	TAA/ATAA petition, online version	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: 440	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	440	440
Annual IC Time Burden (Hours)	183	183
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.