Information Collection

State Agency Review

IC 200930 under ICR 201501-1205-001 · OMB 1205-0223.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0223 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 671 Section 1 State Agency Review	Form and Instruction
ETA 671 Section 1 Program Registration and Apprenticeship Agreement ETA 671 Section l FINAL Expires 043015.docx	Form and Instruction
ETA 671 Section 2 Program Registration and Apprenticeship Agreement ETA 671 Section II Expires 043015 .docx	Form and Instruction
ETA 671 Section II FINALF w_tracked Chgs.docx ETA 671 Section II with proposed minor changes	IC Document

IC Title:

State Agency Review

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 29

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 and Instruction	ETA 671 Section 1	Program Registration and Apprenticeship Agreement	ETA 671 Section l FINAL Expires 043015.docx		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 671 Section 2	Program Registration and Apprenticeship Agreement	ETA 671 Section II Expires 043015 .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: 879

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	879	79	800
Annual IC Time Burden (Hours)	1,758	158	1,600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ETA 671 Section II with proposed minor changes	ETA 671 Section II FINALF w_tracked Chgs.docx	01/08/2015

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