Information Collection

reporting requirements for not-for-profit institutions, adult program

IC 45442 under ICR 201001-1205-001 · OMB 1205-0422.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0422 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9084 reporting requirements for not-for-profit institutions, adult program	Form
1205-0422 SPIR instructions final.doc	Instruction
ETA-9084 Comprehensive Services Quarterly Report 9084 CSP report form 1205-0422.pdf	Form
DINAP-ICR-Supporting-Statement 3 11 2010.doc Disclosure Statement in Bear Tracks System	IC Document

IC Title:

reporting requirements for not-for-profit institutions, adult program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 652 et al

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	ETA-9084	Comprehensive Services Quarterly Report	9084 CSP report form 1205-0422.pdf		Yes	Yes	Fillable Fileable
Instruction			1205-0422 SPIR instructions final.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: 42

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,973	1,899	5,074
Annual IC Time Burden (Hours)	28,652	12,355	16,297
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Disclosure Statement in Bear Tracks System	DINAP-ICR-Supporting-Statement 3 11 2010.doc	03/12/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.