Individual Characteristics

Work Opportunity Tax Credit

OMB: 1205-0371

IC ID: 184551

Information Collection (IC) Details

View Information Collection (IC)

Individual Characteristics
 
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 ETA 9061 Spanish Version Individual Characteristics Form, Spanish Version ETA Form 9061 Spanish_FINAL 11.10.16.doc Yes Yes Fillable Fileable
Form and Instruction ETA 9061 Individual Characteristics Form ETA Form 9061 English_FINAL 11.10.16.doc Yes Yes Fillable Fileable Signable
Form and Instruction ETA 9062 Conditional Certification ETA Form 9062_FINAL 11.10.16.doc Yes Yes Fillable Fileable Signable

Workforce Management Training and Employment

DOL/ETA-15  75 FR 6884

1,914,821 0
   
Individuals or Households
 
   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 1,914,821 0 0 0 0 1,914,821
Annual IC Time Burden (Hours) 631,891 0 0 1 0 631,890
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Individual Characteristics Form, Spanish Version ETA Form 9061 Spanish (with track changes) 11.8.16.doc 11/10/2016
Individual Characteristics Form ETA Form 9061 English_(track changes) 11.10.16.doc 11/10/2016
ETA 9062 ETA Form 9062 (track changes) 4.15.16.doc 04/25/2016
TEGL Dept. Clearance TEGL WOTC 2015 Reauthorization 4.15.16.docx 05/09/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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