Information Collection

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

IC 187426 under ICR 201507-1205-008 · OMB 1205-0342.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9042a Petition, ETA-9042 and 9042a, filled out by company or union officials/representatives	Form and Instruction
ETA 9042 Petition ETA-9042 English Petition (2015-08-31).docx	Form and Instruction
ETA 9042a Petition in Spanish ETA-9042A Spanish Petition.doc	Form and Instruction
ETA 9042 Petition ETA-9042 reversion changes to online petition screens.doc	Form and Instruction
ETA-9042 English Petition mark-up for 2015.doc 9042	IC Document
ETA-9042A Spanish Petition mark-up for 2015.doc 9042A	IC Document

IC Title:

Petition, ETA-9042 and 9042a, 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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9042a	Petition in Spanish	ETA-9042A Spanish Petition.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042	Petition	ETA-9042 reversion changes to online petition screens.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9042	Petition	ETA-9042 English Petition (2015-08-31).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: 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
9042	ETA-9042 English Petition mark-up for 2015.doc	07/27/2015
9042A	ETA-9042A Spanish Petition mark-up for 2015.doc	07/27/2015

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