Information Collection

ETA Reporting Requirements for Programs reporting on ETA 9130

IC 44659 under ICR 201510-1205-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 A ETA Reporting Requirements for Programs reporting on ETA 9130	Form and Instruction
ETA 9130 Financial Status Report ETA-9130 - Basic.pdf	Form and Instruction
ETA 9130 A Employment Services - Unemployment Insurance Financial R ETA-9130 (A) - Statewide Youth.pdf	Form and Instruction
ETA 9130 B Local Youth ETA-9130 (B) - Local Youth.pdf	Form and Instruction
ETA 9130 C Statewide Adult ETA-9130 (C) - Statewide Adult.pdf	Form and Instruction
ETA 9130 D Local Adult ETA-9130 (D) - Local Adult.pdf	Form and Instruction
ETA 9130 E Statewide Dislocated Worker ETA-9130 (E) - Statewide Dislocated Worker.pdf	Form and Instruction
ETA 9130 F Local Dislocated Worker ETA-9130 (F) - Local Dislocated Worker.pdf	Form and Instruction
ETA 9130 G National Dislocated Worker Grants ETA-9130 (G) - National Dislocated Worker Grants.pdf	Form and Instruction
ETA 9130 H Statewide Rapid Response ETA-9130 (H) - Statewide Rapid Response.pdf	Form and Instruction
ETA 9130 I Employment Services & Unemployment Insurance ETA-9130 (I) - Employment Services & Unemployment Insurance.pdf	Form and Instruction
ETA 9130 J National Farmworker Jobs Program ETA-9130 (J) - National Farmworker Jobs Program.pdf	Form and Instruction
ETA 9130 K Senior Community Service Employment Program ETA-9130 (K) - Senior Community Service Employment Program.pdf	Form and Instruction
ETA 9130 L Indian and Native American Program ETA-9130 (L) - Indian and Native American Program.pdf	Form and Instruction
ETA 9130 M Trade Adjustment Assistance Program ETA-9130 (M) - Trade Adjustment Assistance Program.pdf	Form and Instruction
151211 - 9130 Edits Summary.docx 9130 Edits Summary	IC Document
151211 - Final ETA- 9130 PRA Package Edits (Not to be published in FR.).docx Package Edits	IC Document
REVISED - 160122 - Final ETA-9130 - Basic Instructions (With Track Changes).docx ETA-9130 Basic (Track Changes)	IC Document
REVISED - 160201 - Final ETA-9130 (B) - Local Youth Instructions (With Track Changes).docx ETA-9130 B (Track Changes)	IC Document
REVISED - 160201 - Final ETA-9130 (D) - Local Adult Instructions (With Track Changes).docx ETA-9130 D (Track Changes)	IC Document
REVISED - 160201 - Final ETA-9130 (F) - Local Dislocated Worker Instructions (With Track Changes).docx ETA-9130 F (Track Changes)	IC Document
REVISED - 160122 - Final ETA-9130 (G) - National Dislocated Worker Grants Instructions (With Track Changes).docx ETA-9130 G (Track Changes)	IC Document
REVISED - 160201 - Final ETA-9130 (H) - Statewide Rapid Response Instructions (With Track Changes).docx ETA-9130 H (Track Changes)	IC Document
REVISED - 160122 - Final ETA-9130 (L) - Indian and Native American Program Instructions (With Track Changes).docx ETA-9130 L (Track Changes)	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:

0461-0408

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 200 2 CFR 2900

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 9130 A	Employment Services - Unemployment Insurance Financial Report	ETA-9130 (A) - Statewide Youth.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 C	Statewide Adult	ETA-9130 (C) - Statewide Adult.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 E	Statewide Dislocated Worker	ETA-9130 (E) - Statewide Dislocated Worker.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 I	Employment Services & Unemployment Insurance	ETA-9130 (I) - Employment Services & Unemployment Insurance.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 J	National Farmworker Jobs Program	ETA-9130 (J) - National Farmworker Jobs Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 K	Senior Community Service Employment Program	ETA-9130 (K) - Senior Community Service Employment Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 M	Trade Adjustment Assistance Program	ETA-9130 (M) - Trade Adjustment Assistance Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 L	Indian and Native American Program	ETA-9130 (L) - Indian and Native American Program.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130	Financial Status Report	ETA-9130 - Basic.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 B	Local Youth	ETA-9130 (B) - Local Youth.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 D	Local Adult	ETA-9130 (D) - Local Adult.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 G	National Dislocated Worker Grants	ETA-9130 (G) - National Dislocated Worker Grants.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 F	Local Dislocated Worker	ETA-9130 (F) - Local Dislocated Worker.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 H	Statewide Rapid Response	ETA-9130 (H) - Statewide Rapid Response.pdf	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: 20,000

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	20,000	16,608	3,392
Annual IC Time Burden (Hours)	15,000	13,304	1,696
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
9130 Edits Summary	151211 - 9130 Edits Summary.docx	12/14/2015
Package Edits	151211 - Final ETA- 9130 PRA Package Edits (Not to be published in FR.).docx	12/14/2015
ETA-9130 Basic (Track Changes)	REVISED - 160122 - Final ETA-9130 - Basic Instructions (With Track Changes).docx	03/02/2016
ETA-9130 B (Track Changes)	REVISED - 160201 - Final ETA-9130 (B) - Local Youth Instructions (With Track Changes).docx	03/02/2016
ETA-9130 D (Track Changes)	REVISED - 160201 - Final ETA-9130 (D) - Local Adult Instructions (With Track Changes).docx	03/02/2016
ETA-9130 F (Track Changes)	REVISED - 160201 - Final ETA-9130 (F) - Local Dislocated Worker Instructions (With Track Changes).docx	03/02/2016
ETA-9130 G (Track Changes)	REVISED - 160122 - Final ETA-9130 (G) - National Dislocated Worker Grants Instructions (With Track Changes).docx	03/02/2016
ETA-9130 H (Track Changes)	REVISED - 160201 - Final ETA-9130 (H) - Statewide Rapid Response Instructions (With Track Changes).docx	03/02/2016
ETA-9130 L (Track Changes)	REVISED - 160122 - Final ETA-9130 (L) - Indian and Native American Program Instructions (With Track Changes).docx	03/02/2016

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