Information Collection

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

IC 187426 under ICR 201012-1205-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Petition ETA 9042.docx	Form and Instruction
ETA 9042a Petition in Spanish OMB_9042a_Spanish.doc	Form and Instruction
ETA 9042a(1) Petition, changed screens to 2002 amendments version OMB_9042_Electronic.doc	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9042	Petition	Petition ETA 9042.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042a	Petition in Spanish	OMB_9042a_Spanish.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042a(1)	Petition, changed screens to 2002 amendments version	OMB_9042_Electronic.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: 1,785

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,785	1,785
Annual IC Time Burden (Hours)	744	744
Annual IC Cost Burden (Dollars)	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.