Information Collection

Form ETA 9039, Equal Opportunity in Apprenticeship and Training

IC 46261 under ICR 201604-1205-004 · OMB 1205-0224.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0224 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9039 Form ETA 9039, Equal Opportunity in Apprenticeship and Training	Form and Instruction
ETA 9039 EEO Complaint Form, Apprenticeship Programs ETA 9039 Form_Final 5.10.16.doc	Form and Instruction

IC Title:

Form ETA 9039, Equal Opportunity in Apprenticeship and Training

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 30.11

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 9039	EEO Complaint Form, Apprenticeship Programs	ETA 9039 Form_Final 5.10.16.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-4, Apprenticeship Information Management System (AIMS).

FR Citation: 68 FR 57489

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.