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

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

OMB: 1205-0371

IC ID: 43791

Information Collection (IC) Details

View Information Collection (IC)

Work Opportunity Tax Credit (WOTC) and Welfare-to-Work (WtW) Tax Credit
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA 9065 Agency Declaration of Verificatino Results ETA Form 9065_FINAL 4.18.16.doc Yes Yes Paper Only
Form and Instruction ETA 9063 Employer Certification ETA Form 9063_FINAL 5.9.16.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9061 Individual Characteristics Form ETA Form 9061 English_FINAL 5.9.16.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9062 Conditional Certification ETA Form 9062_FINAL 5.9.16.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9058 Certification Workload and Characteristics of Certifed Individuals ETA Form 9058_FINAL 4.18.16.doc.docx Yes Yes Fillable Fileable Signable

Workforce Management Training and Employment

DOL/ETA-15  75 FR 6884

52 0
   
State, Local, and Tribal Governments
 
   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 3,830,058 0 0 2,399,434 0 1,430,624
Annual IC Time Burden (Hours) 1,312,608 0 0 791,863 0 520,745
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ETA 9065 ETA Form 9065 (track changes) 4.15.16.doc 04/20/2016
ETA 9063 ETA Form 9063 (track changes) 4.15.16.doc 04/20/2016
ETA 9061 ETA Form 9061 English (track changes) 4.15.16.doc 04/20/2016
ETA 9062 ETA Form 9062 (track changes) 4.15.16.doc 04/20/2016
ETA 9058 ETA Form 9058 (track changes) 4.15.16.doc.docx 04/20/2016
TEGL Dept. Clearance TEGL WOTC 2015 Reauthorization 4.15.16.docx 05/08/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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