Program Monitoring Recordkeeping

Migrant and Seasonal Farmworker Monitoring Report and Complaint/Apparent Violation Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0039 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 5148 Program Monitoring Recordkeeping Form
LEARS Handbook for ETA 5148 final 5.3.16.doc Instruction
ETA 5148 LEARS Reporting System, Services to Migrant and Seasonal ETA 5148 Form final 5.5.16.docx Form
5148 Form Updated for NPRM TRACKED CHANGES.docx ETA 5148 Form (track changes) IC Document
LEARS Handbook (ETA 5148) TRACKED CHANGES.doc LEARS Handbook for ETA 5148 (track changes) IC Document

Information Collection (IC) Details

IC Title:	Program Monitoring Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 653.108(q) 20 CFR 653.109

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 5148	LEARS Reporting System, Services to Migrant and Seasonal Farmworkers Report	ETA 5148 Form final 5.5.16.docx		Yes	Yes	Fillable Fileable
Instruction			LEARS Handbook for ETA 5148 final 5.3.16.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-208	208
Annual IC Time Burden (Hours)	-713	713
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ETA 5148 Form (track changes)	5148 Form Updated for NPRM TRACKED CHANGES.docx	06/14/2016
LEARS Handbook for ETA 5148 (track changes)	LEARS Handbook (ETA 5148) TRACKED CHANGES.doc	06/14/2016

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