Information Collection

Prisoner Reentry Initiative (PRI) Quarterly Reporting System

IC 13319 under ICR 201110-1205-007 · OMB 1205-0455.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0455 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9140 Prisoner Reentry Initiative (PRI) Quarterly Reporting System	Form
Privacy Act Notification screen from PRI Web.doc	Other-privacy act notification
ETA 9140 Quarterly Report Form RExO QPR ETA 9140 1-19-12.docx	Form

IC Title:

Prisoner Reentry Initiative (PRI) Quarterly Reporting System

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:

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 9140	Quarterly Report Form	RExO QPR ETA 9140 1-19-12.docx		Yes	Yes	Fillable Fileable
Other-privacy act notification			Privacy Act Notification screen from PRI Web.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-15

FR Citation: 68 FR 16898

Number of Respondents: 38

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	Previously Approved
Annual Number of Responses for this IC	304	8	296
Annual IC Time Burden (Hours)	4,864	-1,056	5,920
Annual IC Cost Burden (Dollars)	0	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.