ETA 9048, 9049 Record Keeping Component

Worker Profiling and Reemployment Services Activity and Worker Profiling and Reemployment Services Outcomes

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0353 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9048 ETA 9048, 9049 Record Keeping Component Form and Instruction
ETA 9048 Worker Profiling and Reemployment Services Activity Repo ETA 9048.docx Form and Instruction
ETA 9049 Worker Profiling and Reemployment Services Outcomes Repo ETA 9049.doc Form and Instruction

Information Collection (IC) Details

IC Title:	ETA 9048, 9049 Record Keeping Component	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9048	Worker Profiling and Reemployment Services Activity Report	ETA 9048.docx		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9049	Worker Profiling and Reemployment Services Outcomes Report	ETA 9049.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,342,755	1	1,342,754
Annual IC Time Burden (Hours)	134,276	1	134,275
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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