YouthBuild Grantee Quarterly Reports and Housing Site Report

YouthBuild Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0464 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9143, Part C YouthBuild Grantee Quarterly Reports and Housing Site Report Form
ETA 9143, Part C Annual Housing Census Work Site with ANNUAL HOUSING CENSUS, Part C.xls Form
ETA 9143 Parts A a Work Site Description Parts A and B Work Site Description final Parts A and B.xls Form
ETA 9136 MIS System, Quarterly Reports Revised screenshot of YB PRA statement and exp date.docx Form and Instruction

Information Collection (IC) Details

IC Title:	YouthBuild Grantee Quarterly Reports and Housing Site Report	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 672

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9143, Part C	Annual Housing Census	Work Site with ANNUAL HOUSING CENSUS, Part C.xls	Yes	Yes	Fillable Fileable Signable
Form	ETA 9143 Parts A and B	Work Site Description Parts A and B	Work Site Description final Parts A and B.xls	Yes	Yes	Fillable Fileable Signable
Form and Instruction	ETA 9136	MIS System, Quarterly Reports	Revised screenshot of YB PRA statement and exp date.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 220	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,035	220	0	1,815
Annual IC Time Burden (Hours)	28,307	110	14	28,183
Annual IC Cost Burden (Dollars)	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.