TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff

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⚠️ Notice: This information collection may be referencing outdated material.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 9042A TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff Form and Instruction
ETA 9042 A -1 Petition, online online petition changes with screen shots gpg 8-10-2012.doc Form and Instruction
ETA 9042 Petition RevisedPetition - English.doc Form and Instruction
ETA 9042A TAA Petition, in Spanish RevisedPetition - Spanish (Updated 08 13 12).doc Form and Instruction
TEGL - Operating Instructions for Implementing the TAA Amendments.pdf TEGL Operating Instructions October 2011 Amendments IC Document
Revised Petition Forms to File for Trade Adjustment Assistance.doc Revised Petition Forms to File for Trade Adjustment Assistance IC Document

Information Collection (IC) Details

IC Title:	TAA, ATAA Petition, 9042A and 9042A-1, filled out by state/local workforce staff	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 9042A	TAA Petition, in Spanish	RevisedPetition - Spanish (Updated 08 13 12).doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042 A -1	Petition, online	online petition changes with screen shots gpg 8-10-2012.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042	Petition	RevisedPetition - English.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: 569	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	569	569
Annual IC Time Burden (Hours)	237	237
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
TEGL Operating Instructions October 2011 Amendments	TEGL - Operating Instructions for Implementing the TAA Amendments.pdf	11/18/2011
Revised Petition Forms to File for Trade Adjustment Assistance	Revised Petition Forms to File for Trade Adjustment Assistance.doc	11/29/2011

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