Information Collection

ETA Reporting Requirements for Programs reporting on ETA 9130

IC 44659 under ICR 202208-1205-007 · OMB 1205-0461.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0461 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9130 ETA Reporting Requirements for Programs reporting on ETA 9130	Form
ETA-9130 (A) - Statewide Youth Instructions_clean.pdf	Instruction
ETA-9130 (A) - Statewide Youth Instructions_clean.pdf	Instruction
ETA-9130 (B) - Local Youth Instructions_Edits clean.pdf	Instruction
ETA-9130 (B) - Local Youth Instructions_Edits clean.pdf	Instruction
ETA-9130 (C) - Statewide Adult Instructions_clean.pdf	Instruction
ETA-9130 (C) - Statewide Adult Instructions_clean.pdf	Instruction
ETA-9130 (D) - Local Adult Instructions_clean.pdf	Instruction
ETA-9130 (D) - Local Adult Instructions_clean.pdf	Instruction
ETA-9130 (E) - Statewide Dislocated Worker Instructions_clean.pdf	Instruction
ETA-9130 (E) - Statewide Dislocated Worker Instructions_clean.pdf	Instruction
ETA-9130 (F) - Local Dislocated Worker Instructions_clean.pdf	Instruction
ETA-9130 (F) - Local Dislocated Worker Instructions_clean.pdf	Instruction
ETA-9130 (G) - NDWG Instructions_clean.pdf	Instruction
ETA-9130 (G) - NDWG Instructions_clean.pdf	Instruction
ETA-9130-H - Statewide Rapid Response instructions.pdf	Instruction
ETA-9130-H - Statewide Rapid Response instructions.pdf	Instruction
ETA-9130-I Employment Services and Unemployment Insurance Program instructions.pdf	Instruction
ETA-9130-I Employment Services and Unemployment Insurance Program instructions.pdf	Instruction
ETA-9130-J National Farmworker Jobs Program instructions.pdf	Instruction
ETA-9130-J National Farmworker Jobs Program instructions.pdf	Instruction
ETA-9130-K Senior Community Service Employment Program instructions.pdf	Instruction
ETA-9130-K Senior Community Service Employment Program instructions.pdf	Instruction
ETA-9130 (L) - INA Program Instructions_clean.pdf	Instruction
ETA-9130 (L) - INA Program Instructions_clean.pdf	Instruction
ETA-9130 (M) - TAA Program Instructions_clean.pdf	Instruction
ETA-9130 (M) - TAA Program Instructions_clean.pdf	Instruction
ETA-9130 Financial Report ETA-9130- Basic.pdf	Form
ETA-9130 Financial Report ETA-9130- Basic.pdf	Form
ETA-9130A Statewide Youth ETA-9130-A Statewide Youth.pdf	Form
ETA-9130A Statewide Youth ETA-9130-A Statewide Youth.pdf	Form
ETA-9130B Local Youth ETA-9130-B Local Youth.pdf	Form
ETA-9130B Local Youth ETA-9130-B Local Youth.pdf	Form
ETA-9130C Statewide Adult ETA-9130-C - Statewide Adult.pdf	Form
ETA-9130C Statewide Adult ETA-9130-C - Statewide Adult.pdf	Form
ETA-9130D Local Adult ETA-9130-D - Local Adult.pdf	Form
ETA-9130D Local Adult ETA-9130-D - Local Adult.pdf	Form
ETA-9130E Statewide Dislocated Worker ETA-9130-E Statewide Dislocated Worker.pdf	Form
ETA-9130E Statewide Dislocated Worker ETA-9130-E Statewide Dislocated Worker.pdf	Form
ETA-9130F Local Dislocated Worker ETA-9130-F Local Dislocated Worker.pdf	Form
ETA-9130F Local Dislocated Worker ETA-9130-F Local Dislocated Worker.pdf	Form
ETA-9130G National Dislocated Worker Grants ETA-9130-G National Dislocated Worker Grants.pdf	Form
ETA-9130G National Dislocated Worker Grants ETA-9130-G National Dislocated Worker Grants.pdf	Form
ETa-9130H Statewide Rapid Response ETA-9130-H Statewide Rapid Response.pdf	Form
ETa-9130H Statewide Rapid Response ETA-9130-H Statewide Rapid Response.pdf	Form
ETA-9130I Employment Services and Unemployment Insurance Program ETA-9130-I Employment Services and Unemployment Insurance Program.pdf	Form
ETA-9130I Employment Services and Unemployment Insurance Program ETA-9130-I Employment Services and Unemployment Insurance Program.pdf	Form
ETA-9130J National Farmworker Jobs Program ETA-9130-J National Farmworker Jobs Program.pdf	Form
ETA-9130J National Farmworker Jobs Program ETA-9130-J National Farmworker Jobs Program.pdf	Form
ETA-9130K Senior Community Service Employment Program ETA-9130-K Senior Community Service Employment Program.pdf	Form
ETA-9130K Senior Community Service Employment Program ETA-9130-K Senior Community Service Employment Program.pdf	Form
ETA-9130L Indian and Native American Program ETA-9130 -L Indian and Native American Program.pdf	Form
ETA-9130L Indian and Native American Program ETA-9130 -L Indian and Native American Program.pdf	Form
ETA-9130 (A) - Statewide Youth Instructions_Edits.pdf Tracked 9130A Instructions	IC Document
ETA-9130 (A) - Statewide Youth Instructions_Edits.pdf Tracked 9130A Instructions	IC Document
ETA-9130 (B) - Local Youth Instructions_Edits.pdf Tracked 9130B Instructions	IC Document
ETA-9130 (B) - Local Youth Instructions_Edits.pdf Tracked 9130B Instructions	IC Document
ETA-9130 (C) - Statewide Adult Instructions_Edits.pdf Tracked 9130C Instructions	IC Document
ETA-9130 (C) - Statewide Adult Instructions_Edits.pdf Tracked 9130C Instructions	IC Document
ETA-9130 (D) - Local Adult Instructions_Edits.pdf Tracked 9130D Instructions	IC Document
ETA-9130 (D) - Local Adult Instructions_Edits.pdf Tracked 9130D Instructions	IC Document
ETA-9130 (E) - Statewide Dislocated Worker Instructions_Edits.pdf Tracked 9130E Instructions	IC Document
ETA-9130 (E) - Statewide Dislocated Worker Instructions_Edits.pdf Tracked 9130E Instructions	IC Document
ETA-9130 (F) - Local Dislocated Worker Instructions_edits.pdf Tracked 9130F Instructions	IC Document
ETA-9130 (F) - Local Dislocated Worker Instructions_edits.pdf Tracked 9130F Instructions	IC Document
ETA-9130 (G) - NDWG Instructions_Edits.pdf Tracked 9130G Instructions	IC Document
ETA-9130 (G) - NDWG Instructions_Edits.pdf Tracked 9130G Instructions	IC Document
ETA-9130 (L) - INA Program Instructions_edits.pdf Tracked 9130L Instructions	IC Document
ETA-9130 (L) - INA Program Instructions_edits.pdf Tracked 9130L Instructions	IC Document
ETA-9130 (M) - TAA Program Instructions_edits.pdf Tracked 9130M Instructions	IC Document
ETA-9130 (M) - TAA Program Instructions_edits.pdf Tracked 9130M Instructions	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

ETA Reporting Requirements for Programs reporting on ETA 9130

Agency IC Tracking Number:

0461-0408

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 2900 20 CFR 683.150, 200, 300 2 CFR 200 20 CFR 683.730, 740, 750 20 CFR 681.430

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9130	Financial Report	ETA-9130- Basic.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130A	Statewide Youth	ETA-9130-A Statewide Youth.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130B	Local Youth	ETA-9130-B Local Youth.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130C	Statewide Adult	ETA-9130-C - Statewide Adult.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130D	Local Adult	ETA-9130-D - Local Adult.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130E	Statewide Dislocated Worker	ETA-9130-E Statewide Dislocated Worker.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130F	Local Dislocated Worker	ETA-9130-F Local Dislocated Worker.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130G	National Dislocated Worker Grants	ETA-9130-G National Dislocated Worker Grants.pdf	Yes	Yes	Fillable Fileable
Form	ETa-9130H	Statewide Rapid Response	ETA-9130-H Statewide Rapid Response.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130I	Employment Services and Unemployment Insurance Program	ETA-9130-I Employment Services and Unemployment Insurance Program.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130J	National Farmworker Jobs Program	ETA-9130-J National Farmworker Jobs Program.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130K	Senior Community Service Employment Program	ETA-9130-K Senior Community Service Employment Program.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9130L	Indian and Native American Program	ETA-9130 -L Indian and Native American Program.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (A) - Statewide Youth Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (B) - Local Youth Instructions_Edits clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (C) - Statewide Adult Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (D) - Local Adult Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (E) - Statewide Dislocated Worker Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (F) - Local Dislocated Worker Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (G) - NDWG Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130-H - Statewide Rapid Response instructions.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130-I Employment Services and Unemployment Insurance Program instructions.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130-J National Farmworker Jobs Program instructions.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130-K Senior Community Service Employment Program instructions.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (L) - INA Program Instructions_clean.pdf	Yes	Yes	Fillable Fileable
Instruction			ETA-9130 (M) - TAA Program Instructions_clean.pdf	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: 5,400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,600	1,600	20,000
Annual IC Time Burden (Hours)	16,200	1,200	15,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Tracked 9130A Instructions	ETA-9130 (A) - Statewide Youth Instructions_Edits.pdf	08/22/2022
Tracked 9130B Instructions	ETA-9130 (B) - Local Youth Instructions_Edits.pdf	08/22/2022
Tracked 9130C Instructions	ETA-9130 (C) - Statewide Adult Instructions_Edits.pdf	08/22/2022
Tracked 9130D Instructions	ETA-9130 (D) - Local Adult Instructions_Edits.pdf	08/22/2022
Tracked 9130E Instructions	ETA-9130 (E) - Statewide Dislocated Worker Instructions_Edits.pdf	08/22/2022
Tracked 9130F Instructions	ETA-9130 (F) - Local Dislocated Worker Instructions_edits.pdf	08/22/2022
Tracked 9130G Instructions	ETA-9130 (G) - NDWG Instructions_Edits.pdf	08/22/2022
Tracked 9130L Instructions	ETA-9130 (L) - INA Program Instructions_edits.pdf	08/22/2022
Tracked 9130M Instructions	ETA-9130 (M) - TAA Program Instructions_edits.pdf	08/22/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.