Qualified Long-term Unemployment Recipient (LTUR)

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit

OMB: 1205-0371

IC ID: 221431

Information Collection (IC) Details

View Information Collection (IC)

Qualified Long-term Unemployment Recipient (LTUR)
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9175 LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM WOTC SAF for Long-Term Unemployment Recipient ETA Form 9175_FINAL 5.17.16.doc Yes Yes Fillable Fileable Signable

Workforce Management Training and Employment

 

95,741 0
   
Private Sector Farms, Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 95,741 95,741 0 0 0 0
Annual IC Time Burden (Hours) 16,276 16,276 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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