Program Monitoring/Reporting/Recordkeeping

Migrant and Seasonal Farmworker Monitoring Report and One-Stop Career Center Complaint/Referral Record

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0039 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 5148 Program Monitoring/Reporting/Recordkeeping Form and Instruction
LEARS Handbook (ETA 5148) 2012.doc Instruction
ETA 5148 LEARS - Service Provided to Migrant and Seasonal Farmwor LEARS ETA 5148 Report 1 2012.doc Form and Instruction
udpated LEARS.doc LEARS public burden statement placement IC Document

Information Collection (IC) Details

IC Title:	Program Monitoring/Reporting/Recordkeeping	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 653.108(q)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 5148	LEARS - Service Provided to Migrant and Seasonal Farmworkers	LEARS ETA 5148 Report 1 2012.doc		Yes	Yes	Fillable Fileable
Instruction			LEARS Handbook (ETA 5148) 2012.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: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	42	208
Annual IC Time Burden (Hours)	978	22	956
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
LEARS public burden statement placement	udpated LEARS.doc	12/23/2008

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