ETA Form 9039 – Complaint Form – Equal Opportunity in Apprenticeship Programs

Registration and Equal Employment Opportunity in Apprenticeship Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0223 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9039 ETA Form 9039 – Complaint Form – Equal Opportunity in Apprenticeship Programs Form and Instruction
ETA 9039 Complaint Form – Equal Employment Opportunity in Apprent ETA Form 9039 040921.docx Form and Instruction
ETA-9039 Complaint Form – Equal Employment Opportunity in Apprent ETA Form 9039 050721 clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	ETA Form 9039 – Complaint Form – Equal Opportunity in Apprenticeship Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 30.14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9039	Complaint Form – Equal Employment Opportunity in Apprenticeship Programs	ETA Form 9039 050721 clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	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.