Information Collection

ETA Reporting Requirements for Programs reporting on ETA 9130

IC 44659 under ICR 201503-1205-009 · OMB 1205-0461.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0461 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9130 Financial Report Form, Basic ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (A) Financial Report Form, Statewide Youth ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (B) Financial Report Form, Local Youth ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (C) Financial Report Form, Statewide Adult ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (D) Financial Report Form, Local Adult ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (E) Financial Report Form, Statewide Dislocated Worker ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (F) Financial Report Form, Local Dislocated Worker ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (H) Financial Report Form, Statewide Rapid Response ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (I) Financial Report Form, Employment Services Unemployment Insurance ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (J) Financial Report Form, National Farmworker Jobs Program ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (K) Financial Report Form, Senior Community Service Employment Program ETA Reporting Requirements for Programs reporting on ETA 9130	Form
Form ETA 9130 (L) Financial Report Form, Indian and Native American Program ETA Reporting Requirements for Programs reporting on ETA 9130	Form
150331 - ETA-9130 - Basic Instructions (Clean).docx	Instruction
150331 - ETA-9130 (A) - Statewide Youth Instructions (Clean).docx	Instruction
150331 - ETA-9130 (B) - Local Youth Instructions (Clean).docx	Instruction
150331 - ETA-9130 (D) - Local Adult Instructions (Clean).docx	Instruction
150331 - ETA-9130 (E) - Statewide Dislocated Worker Instructions (Clean) .docx	Instruction
150331 - ETA-9130 (H) - Statewide Rapid Response Instructions (Clean).docx	Instruction
150331 - ETA-9130 (I) - Employment Services Unemployment Insurance Instructions (Clean).docx	Instruction
150331 - ETA-9130 (J) - National Farmworker Jobs Program Instructions (Clean).docx	Instruction
150331 - ETA-9130 (K) - Senior Community Service Employment Program Instructions (Clean).docx	Instruction
150331 - ETA-9130 (L) - Indian and Native American Program Instructions (Clean).docx	Instruction
150331 - ETA-9130 (F) - Local Dislocated Worker Instructions (Clean).docx	Instruction
150331 - ETA-9130 (C) - Statewide Adult Instructions (Clean).docx	Instruction
ETA 9130 Financial Report Form, Basic Copy of 150331 - ETA-9130 - Basic (Clean).xls	Form
ETA 9130 (A) Financial Report Form, Statewide Youth Copy of 150331 - ETA-9130 (A) - Statewide Youth (Clean).xls	Form
ETA 9130 (B) Financial Report Form, Local Youth Copy of 150331 - ETA-9130 (B) - Local Youth (Clean).xls	Form
ETA 9130 (C) Financial Report Form, Statewide Adult Copy of 150331 - ETA-9130 (C) - Statewide Adult (Clean).xls	Form
ETA 9130 (D) Financial Report Form, Local Adult Copy of 150331 - ETA-9130 (D) - Local Adult (Clean).xls	Form
ETA 9130 (E) Financial Report Form, Statewide Dislocated Worker Copy of 150331 - ETA-9130 (E) - Statewide Dislocated Worker (Clean).xls	Form
ETA 9130 (F) Financial Report Form, Local Dislocated Worker Copy of 150331 - ETA-9130 (F) - Local Dislocated Worker (Clean).xls	Form
ETA 9130 (H) Financial Report Form, Statewide Rapid Response Copy of 150331 - ETA-9130 (H) - Statewide Rapid Response (Clean).xls	Form
ETA 9130 (I) Financial Report Form, Employment Services Unemployment Copy of 150331 - ETA-9130 (I) - Employment Services Unemployment Insurance (Clean).xls	Form
ETA 9130 (J) Financial Report Form, National Farmworker Jobs Program Copy of 150331 - ETA-9130 (J) - National Farmworker Jobs Program (Clean).xls	Form
ETA 9130 (K) Financial Report Form, Senior Community Service Employme Copy of 150331 - ETA-9130 (K) - Senior Community Service Employment Program (Clean).xls	Form
ETA 9130 (L) Financial Report Form, Indian and Native American Progra Copy of 150331 - ETA-9130 (L) - Indian and Native American Program (Clean).xls	Form
Copy of 150331 - ETA-9130 - Basic.xls Financial Report Form, Basic	IC Document
Copy of 150331 - ETA-9130 (A) - Statewide Youth.xls Financial Report, Statewide Yourh	IC Document
Copy of 150331 - ETA-9130 (B) - Local Youth.xls Financial Report, Local Youth	IC Document
Copy of 150331 - ETA-9130 (C) - Statewide Adult.xls Financial Report, Statewide Adults	IC Document
Copy of 150331 - ETA-9130 (D) - Local Adult.xls Financial Report, Local Adults	IC Document
Copy of 150331 - ETA-9130 (E) - Statewide Dislocated Worker.xls Financiasl Report, Statewide Dislocated Workers	IC Document
Copy of 150331 - ETA-9130 (F) - Local Dislocated Worker.xls Financial Report, Local Dislocated Workers	IC Document
Copy of 150331 - ETA-9130 (H) - Statewide Rapid Response.xls Financial Report, Statewide Rapid Response	IC Document
Copy of 150331 - ETA-9130 (I) - Employment Services Unemployment Insurance.xls Financial REport, ES Unemployment Insurance	IC Document
Copy of 150331 - ETA-9130 (J) - National Farmworker Jobs Program.xls Financial Report, National Farmworkers Jobs Program	IC Document
Copy of 150331 - ETA-9130 (K) - Senior Community Service Employment Program.xls Final Report, SCSP	IC Document
Copy of 150331 - ETA-9130 (L) - Indian and Native American Program.xls Financial Report, Indian and Native American Program	IC Document
150331 - ETA-9130 - Basic Instructions.docx Instructions, basic	IC Document
150331 - ETA-9130 (A) - Statewide Youth Instructions.docx Instructions, Statewide Youth	IC Document
150331 - ETA-9130 (B) - Local Youth Instructions.docx Instructions, Local Youth	IC Document
150331 - ETA-9130 (C) - Statewide Adult Instructions.docx Instructions, Statewide Adults	IC Document
150331 - ETA-9130 (H) - Statewide Rapid Response Instructions.docx Statewide Rapid Response	IC Document
150331 - ETA-9130 (I) - Employment Services Unemployment Insurance Instructions.docx Instructions, ES Unemployment Insurance	IC Document
150331 - ETA-9130 (J) - National Farmworker Jobs Program Instructions.docx Instructions National Farmworkers	IC Document
150331 - ETA-9130 (K) - Senior Community Service Employment Program Instructions.docx Instructions, SCSP	IC Document
150331 - ETA-9130 (L) - Indian and Native American Program Instructions.docx Instructions, Indian and Native American Program	IC Document
150331 - ETA-9130 (D) - Local Adult Instructions.docx Instructions, Local Adults	IC Document
150331 - ETA-9130 (E) - Statewide Dislocated Worker Instructions.docx Instructions, Statewide Dislocated Workers	IC Document
150331 - ETA-9130 (F) - Local Dislocated Worker Instructions.docx Instructions, Dislocated Workers	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

ETA Reporting Requirements for Programs reporting on ETA 9130

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 683.150 20 CFR 683.750 20 CFR 681.430 29 CFR 95.52 29 CFR 97.41 20 CFR 683.200 20 CFR 683.300 20 CFR 683.730 20 CFR 683.740

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9130	Yes	Yes	Fillable Fileable
Form	ETA 9130 (A)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (B)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (C)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (D)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (E)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (F)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (H)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (I)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (J)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (K)	Yes	Yes	Fillable Fileable
Form	ETA 9130 (L)	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 848

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
	Requested	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,784	0	3,392	3,392
Annual IC Time Burden (Hours)	5,088	3,392	0	1,696
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Financial Report Form, Basic		04/08/2015
Financial Report, Statewide Yourh		04/08/2015
Financial Report, Local Youth		04/08/2015
Financial Report, Statewide Adults		04/08/2015
Financial Report, Local Adults		04/08/2015
Financiasl Report, Statewide Dislocated Workers		04/08/2015
Financial Report, Local Dislocated Workers		04/08/2015
Financial Report, Statewide Rapid Response		04/08/2015
Financial REport, ES Unemployment Insurance		04/08/2015
Financial Report, National Farmworkers Jobs Program		04/08/2015
Final Report, SCSP		04/08/2015
Financial Report, Indian and Native American Program		04/08/2015
Instructions, basic		04/09/2015
Instructions, Statewide Youth		04/09/2015
Instructions, Local Youth		04/09/2015
Instructions, Statewide Adults		04/09/2015
Statewide Rapid Response		04/09/2015
Instructions, ES Unemployment Insurance		04/09/2015
Instructions National Farmworkers		04/09/2015
Instructions, SCSP		04/09/2015
Instructions, Indian and Native American Program		04/09/2015
Instructions, Local Adults		09/10/2015
Instructions, Statewide Dislocated Workers		09/10/2015
Instructions, Dislocated Workers		09/10/2015

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

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