Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures

National Dislocated Workers Emergency Grant Application and Reporting Procedures

Documents and Forms

Document Name Document Type
Form ETA 9103-1 Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures Form
ETA 9103-1 Planning Form (Regular) Planning Form ETA 9103-1.docx Form
ETA 9103-1 Planning Form (Regular) Planning Form ETA 9103-1.docx Form
ETA 9103-2a Planning Form (Disaster-Temporary Jobs Planning Form ETA 9103-2a.docx Form
ETA 9103-2a Planning Form (Disaster-Temporary Jobs Planning Form ETA 9103-2a.docx Form
ETA 9103-2b Planning Form (Disaster-Workforce Development Services) Planning Form ETA 9103-2b.docx Form
ETA 9103-2b Planning Form (Disaster-Workforce Development Services) Planning Form ETA 9103-2b.docx Form
ETA 9103-3 Planning Form (Dual Enrollment) Planning Form ETA 9103-3.docx Form
ETA 9103-3 Planning Form (Dual Enrollment) Planning Form ETA 9103-3.docx Form
ETA 9105 Employer Data Form Employer Data Form ETA 9105.docx Form
ETA 9105 Employer Data Form Employer Data Form ETA 9105.docx Form
ETA 9106 Project Synopsis Form Project Synopsis Form ETA 9106.docx Form
ETA 9106 Project Synopsis Form Project Synopsis Form ETA 9106.docx Form
ETA 9107 Project Operator Data Form Project Operator Data Form ETA 9107.docx Form
ETA 9107 Project Operator Data Form Project Operator Data Form ETA 9107.docx Form

Information Collection (IC) Details

IC Title:	Workforce Innovation and Opportunity Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	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 687.150

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9103-1	Planning Form (Regular)	Planning Form ETA 9103-1.docx	Yes	Yes	Fillable Fileable
Form	ETA 9103-2a	Planning Form (Disaster-Temporary Jobs	Planning Form ETA 9103-2a.docx	Yes	Yes	Fillable Fileable
Form	ETA 9103-2b	Planning Form (Disaster-Workforce Development Services)	Planning Form ETA 9103-2b.docx	Yes	Yes	Fillable Fileable
Form	ETA 9103-3	Planning Form (Dual Enrollment)	Planning Form ETA 9103-3.docx	Yes	Yes	Fillable Fileable
Form	ETA 9105	Employer Data Form	Employer Data Form ETA 9105.docx	Yes	Yes	Fillable Fileable
Form	ETA 9106	Project Synopsis Form	Project Synopsis Form ETA 9106.docx	Yes	Yes	Fillable Fileable
Form	ETA 9107	Project Operator Data Form	Project Operator Data Form ETA 9107.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: 951	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	951	-636	1,587
Annual IC Time Burden (Hours)	768	-318	1,086
Annual IC Cost Burden (Dollars)	0	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.