Information Collection

ETA Reporting Requirements for Programs reporting on ETA 9130

IC 44659 under ICR 201909-1205-006 · OMB 1205-0461.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0461 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9130 (Basic) ETA Reporting Requirements for Programs reporting on ETA 9130	Form and Instruction
ETA 9130 (Basic) Financial Status Report ETA-9130-Basic.pdf	Form and Instruction
ETA 9130 A Employment Services - Unemployment Insurance Financial R ETA-9130-A.pdf	Form and Instruction
ETA 9130 B Local Youth ETA-9130-B.pdf	Form and Instruction
ETA 9130 C Statewide Adult ETA-9130-C.pdf	Form and Instruction
ETA 9130 D Local Adult ETA-9130-D.pdf	Form and Instruction
ETA 9130 E Statewide Dislocated Worker ETA-9130-E.pdf	Form and Instruction
ETA 9130 F Local Dislocated Worker ETA-9130-F.pdf	Form and Instruction
ETA 9130 G National Dislocated Worker Grants ETA-9130-G.pdf	Form and Instruction
ETA 9130 H Statewide Rapid Response ETA-9130-H.pdf	Form and Instruction
ETA 9130 I Employment Services & Unemployment Insurance ETA-9130-I.pdf	Form and Instruction
ETA 9130 J National Farmworker Jobs Program ETA-9130-J.pdf	Form and Instruction
ETA 9130 K Senior Community Service Employment Program ETA-9130-K.pdf	Form and Instruction
ETA 9130 L Indian and Native American Program ETA-9130-L.pdf	Form and Instruction
ETA 9130 M Trade Adjustment Assistance Program ETA-9130-M.pdf	Form and Instruction

IC Title:

ETA Reporting Requirements for Programs reporting on ETA 9130

Agency IC Tracking Number:

0461-0408

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 2900 20 CFR 683.150, 200, 300 2 CFR 200 20 CFR 683.730, 740, 750 20 CFR 681.430

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9130 (Basic)	Financial Status Report	ETA-9130-Basic.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 A	Employment Services - Unemployment Insurance Financial Report	ETA-9130-A.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 B	Local Youth	ETA-9130-B.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 C	Statewide Adult	ETA-9130-C.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 D	Local Adult	ETA-9130-D.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 E	Statewide Dislocated Worker	ETA-9130-E.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 F	Local Dislocated Worker	ETA-9130-F.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 G	National Dislocated Worker Grants	ETA-9130-G.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 H	Statewide Rapid Response	ETA-9130-H.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 I	Employment Services & Unemployment Insurance	ETA-9130-I.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 J	National Farmworker Jobs Program	ETA-9130-J.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 K	Senior Community Service Employment Program	ETA-9130-K.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 L	Indian and Native American Program	ETA-9130-L.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9130 M	Trade Adjustment Assistance Program	ETA-9130-M.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,000	0	20,000
Annual IC Time Burden (Hours)	15,000	-1	15,001
Annual IC Cost Burden (Dollars)	0	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.