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

Petition Requirements and Investigative Data Collection: Trade Act of 1974 ,as amended

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0342 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9142A-1 TAA/ATAA Petition, ETA-9042a and 9042A-1, filled out by company or union officials/representatives Form and Instruction
ETA-9142A-1 TAA ON-Line Petition Changes to TAA On-line Petition to Conform with 2011 Amendments.doc Form and Instruction
ETA-9042 TAA Petition 2011 ETA-9042 - Petition Form.doc Form and Instruction
ETA-9042A TAA Petition, Spanish Translation 2011 ETA-9042a - Petition Form - Spanish translation.doc Form and Instruction
Revised_Petition_Forms_to_File_for_Trade_Adjustment_Assistance(20111129).doc TEGL IC Document

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9142A-1	TAA ON-Line Petition	Changes to TAA On-line Petition to Conform with 2011 Amendments.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9042	TAA Petition	2011 ETA-9042 - Petition Form.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9042A	TAA Petition, Spanish Translation	2011 ETA-9042a - Petition Form - Spanish translation.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: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	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

Title	Document	Date Uploaded
TEGL	Revised_Petition_Forms_to_File_for_Trade_Adjustment_Assistance(20111129).doc	11/29/2011

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