Information Collection

TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives

IC 187426 under ICR 200904-1205-009 · OMB 1205-0342.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9042 TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives	Form and Instruction
ETA-9042 Petition for Trade Adjustment Assistance 9042 4_22_09.doc www.doleta.gov/tradeact	Form and Instruction
ETA-9042a Petition for Trade Adjustment Assistance, Spanish versio 9042a 4_22_09.doc www.doleta.gov/tradeact	Form and Instruction

IC Title:

TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives

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:

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-9042	Petition for Trade Adjustment Assistance	9042 4_22_09.doc	www.doleta.gov/tradeact	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9042a	Petition for Trade Adjustment Assistance, Spanish version	9042a 4_22_09.doc	www.doleta.gov/tradeact	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,785

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	1,785	619	1,166
Annual IC Time Burden (Hours)	744	258	486
Annual IC Cost Burden (Dollars)	0	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.