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Program Monitoring Recordkeeping
Migrant and Seasonal Farmworker Monitoring Report and Complaint/Apparent Violation Form
OMB: 1205-0039
IC ID: 221917
OMB.report
DOL/ETA
OMB 1205-0039
ICR 202001-1205-001
IC 221917
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0039 can be found here:
2024-02-13 - Revision of a currently approved collection
2023-06-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form ETA 5148
Program Monitoring Recordkeeping
Form
LEARS Handbook for ETA 5148 - FINAL 2019-09-12.doc
Instruction
ETA 5148 LEARS Reporting System Services to Migrant and Seasonal
ETA 5148 Form FINAL 2019-09-12.docx
Form
ETA 5148 Form Draft Proposed with track changes.docx
ETA 5148 (Tracked Changes)
IC Document
LEARS Handbook for ETA 5148 - tracked changes 2019-09-12.doc
LEARS Handbook Form 5148 (Tracked Changes) 2019-09-11
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Program Monitoring Recordkeeping
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 2019-09-12.docx
Yes
Yes
Fillable Fileable
Instruction
LEARS Handbook for ETA 5148 - FINAL 2019-09-12.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
204
0
0
0
0
204
Annual IC Time Burden (Hours)
904
0
0
0
0
904
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
ETA 5148 (Tracked Changes)
ETA 5148 Form Draft Proposed with track changes.docx
09/16/2019
LEARS Handbook Form 5148 (Tracked Changes) 2019-09-11
LEARS Handbook for ETA 5148 - tracked changes 2019-09-12.doc
09/16/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.