Comprehensive Services Program report (Form ETA-9084)

Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act

Documents and Forms

Document Name Document Type
Form ETA-9084 Comprehensive Services Program report (Form ETA-9084) Form
ETA-9084 Comprehensive Services Quarterly Performance Report ETA Form 9084.pdf Form
ETA-9084 Comprehensive Services Quarterly Performance Report ETA Form 9084 and Instructions.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Comprehensive Services Program report (Form ETA-9084)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 684 20 CFR 683.300

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9084	Comprehensive Services Quarterly Performance Report	ETA Form 9084.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9084	Comprehensive Services Quarterly Performance Report	ETA Form 9084 and Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA - 15	FR Citation: 67 FR 16898

Number of Respondents: 111	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	444	280	164
Annual IC Time Burden (Hours)	888	-3,048	3,936
Annual IC Cost Burden (Dollars)	45,874	45,874	0

Documents for IC

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.