Individual Characteristics

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0371 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9061 in Spanis Individual Characteristics Form
ETA-9061 in Spanis WOTC Individual Characteristics ETA Form 9061 Spanish Version (R1 FFnl 4-08) w-o Instrs.doc Form
ETA-9061 Individual Characteristics Form WOTC ETA 9061 rev 10 29 08.doc Form and Instruction
ETA Form 9061 Individual Characteristics ETA Form 9061 (ARRA '09 co3-10-09) (2).doc Form and Instruction
Change1to TEGL 11-08 (Extension P '07 frms) R-wSOL ByCO 3-19-09mq edits.doc Draft TEGL IC Document
ETA Form 9061- ICF (6 F7-07).doc ETA 9061 IC Document

Information Collection (IC) Details

IC Title:	Individual Characteristics	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9061 in Spanish	WOTC Individual Characteristics	ETA Form 9061 Spanish Version (R1 FFnl 4-08) w-o Instrs.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9061	Individual Characteristics Form	WOTC ETA 9061 rev 10 29 08.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA Form 9061	Individual Characteristics	ETA Form 9061 (ARRA '09 co3-10-09) (2).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: 990,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	990,000	990,000
Annual IC Time Burden (Hours)	326,700	326,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Draft TEGL	Change1to TEGL 11-08 (Extension P '07 frms) R-wSOL ByCO 3-19-09mq edits.doc	03/20/2009
ETA 9061	ETA Form 9061- ICF (6 F7-07).doc	03/20/2009

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