Job Service Complaint Reporting (ETA 8429)

Migrant and Seasonal Farmworker Monitoring Report and Complaint/Apparent Violation Form

OMB: 1205-0039

IC ID: 12963

Information Collection (IC) Details

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Job Service Complaint Reporting (ETA 8429)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 658 20 CFR 653.109

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 8429 Compliant Form ETA 8429 Complaint Form 5-26-23.docx Yes Yes Paper Only

Workforce Management Training and Employment

DOL/ETA-15, published April 8, 2002  67 FR 16898

2,617 0
   
State, Local, and Tribal Governments
 
   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 2,617 0 -465 0 0 3,082
Annual IC Time Burden (Hours) 5,234 0 -930 0 0 6,164
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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