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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
OMB.report
DOL/ETA
OMB 1205-0371
ICR 202302-1205-001
IC 221431
Form ETA-9175 LONG-TERM UNEMPLOYMENT RECIPIENT SELF-ATTESTATION FORM W
( )
⚠️ Notice: This form may be outdated.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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