Form ETA-9175 LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM W

Work Opportunity Tax Credit

ETA Form 9175 - LTUR Self Attestation Form [clean]

Qualified Long-term Unemployment Recipient (LTUR)

OMB: 1205-0371

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1205-0371 can be found here:

2024-02-15 - No material or nonsubstantive change to a currently approved collection

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