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TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 3-09 Change 1
Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
OMB: 1205-0371
IC ID: 190816
OMB.report
DOL/ETA
OMB 1205-0371
ICR 200912-1205-003
IC 190816
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0371 can be found here:
2024-02-15 - No material or nonsubstantive change to a currently approved collection
2023-03-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
TEGL 3-09, Change 1.PDF
Instruction
TEGL Change 2, WOTC Youth Self-Attestation.pdf
Instruction
ETA-9154 Youth Self Attestation
Youth Self-Attestation Template.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TRAINING AND EMPLOYMENT GUIDANCE LETTER NO. 3-09 Change 1
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
TEGL 3-09, Change 1.PDF
Yes
Yes
Fillable Fileable
Instruction
TEGL Change 2, WOTC Youth Self-Attestation.pdf
Yes
Yes
Fillable Fileable
Form
ETA-9154
Youth Self Attestation
Youth Self-Attestation Template.doc
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
53
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
106,000
0
0
0
0
106,000
Annual IC Time Burden (Hours)
34,980
0
0
0
0
34,980
Annual IC Cost Burden (Dollars)
0
0
0
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.