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ETA 9048, 9049 Record Keeping Component
Worker Profiling and Reemployment Services Activity and Worker Profiling and Reemployment Services Outcomes
OMB: 1205-0353
IC ID: 206100
OMB.report
DOL/ETA
OMB 1205-0353
ICR 202209-1205-001
IC 206100
( )
Documents and Forms
Document Name
Document Type
Form ETA-9048
ETA 9048, 9049 Record Keeping Component
Form and Instruction
ETA-9048 PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9048.docx
Form and Instruction
ETA-9048 PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9048.docx
Form and Instruction
ETA-9049 PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9049.docx
Form and Instruction
ETA-9049 PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9049.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ETA 9048, 9049 Record Keeping Component
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA-9048
PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9048.docx
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-9049
PROFILING AND REEMPLOYMENT SERVICES OUTCOMES
SectionIV_SpecialPrograms_ETA 9049.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Unemployment Compensation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5
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
100,138
0
0
-961,320
0
1,061,458
Annual IC Time Burden (Hours)
10,014
0
0
-96,132
0
106,146
Annual IC Cost Burden (Dollars)
0
0
0
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.