Information Collection Request

YouthBuild Reporting System

ICR 202108-1205-004 · OMB 1205-0464 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA 9143 Worksite Description and Annual Housing Census Form Form and Instruction Modified Available
Form ETA 9143 Annual Housing Census Form and Instruction Modified Repair queued
Form ETA 9143 Worksite Description and Annual Housing Census Form Form and Instruction Modified Available
Form ETA 9143 Work Site Description and Annual Housing Census Forms Form and Instruction Modified Available
Form ETA 9143 Work Site Description (existing grantees) Form and Instruction Modified Repair queued
Form ETA 9143 Worksite Description and Annual Housing Census Form Form and Instruction Modified Available
Form ETA 9143 Work Site Description (prospective applicants) Form and Instruction Modified Repair queued
Form ETA 9138 Youtbuild Data Elements Form and Instruction Modified Available
Form ETA 9138 Participant Data Collection Form and Instruction Modified Repair queued
Form ETA 9136 MIS System, Quarterly Report Form and Instruction Modified Available
Form ETA 9136 Quarterly Performance Report Form and Instruction Modified Repair queued
30-day FRN (1205-0464) published.pdf Supplementary Document Uploaded 2021-09-28 Repair queued
60-day FRN (1205-0464) published.pdf Supplementary Document Uploaded 2021-09-27 Repair queued
1205-0464 Supporting Statement 082021.docx Supporting Statement A Uploaded 2021-08-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232440 Annual Housing Census Form and Instruction ModifiedWorksite Description and Annual Housing Census Form
232440 Annual Housing Census Form and Instruction Modified
201498 Work Site Description (existing grantees) Form and Instruction ModifiedWorksite Description and Annual Housing Census Form
201498 Work Site Description (existing grantees) Form and Instruction ModifiedWork Site Description and Annual Housing Census Forms
201498 Work Site Description (existing grantees) Form and Instruction Modified
200351 Work Site Description (prospective applicants) Form and Instruction ModifiedWorksite Description and Annual Housing Census Form
200351 Work Site Description (prospective applicants) Form and Instruction Modified
180994 Participant Data Collection Form and Instruction ModifiedYoutbuild Data Elements
180994 Participant Data Collection Form and Instruction Modified
180934 Quarterly Performance Report Form and Instruction ModifiedMIS System, Quarterly Report
180934 Quarterly Performance Report Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2024 36 Months From Approved 11/30/2021
7,490 0 7,700
24,489 0 24,670
0 0 0





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5
table that charts list of burden
IC Title Form No. Form Name
Annual Housing Census ETA 9143
Participant Data Collection ETA 9138
Quarterly Performance Report ETA 9136
Work Site Description (existing grantees) ETA 9143, ETA 9143 ,  
Work Site Description (prospective applicants) ETA 9143

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,490 7,700 0 0 -210 0
Annual Time Burden (Hours) 24,489 24,670 0 0 -181 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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