Information Collection Request

Work Opportunity Tax Credit

ICR 202308-1205-002 · OMB 1205-0371 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1205-0371 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form ETA-9062 Work Opportunity Tax Credit (WOTC)	Form and Instruction	Modified	Available
Form ETA-9062 Work Opportunity Tax Credit (WOTC)	Form and Instruction	Modified	Repair queued
Form ETA-9065 Certification Workload and Characteristic of Certified Individuals	Form and Instruction	Modified	Available
Form ETA-9065 Certification Workload and Characteristic of Certified Individuals	Form and Instruction	Modified	Repair queued
Form ETA-9175 Qualified Long-term Unemployment Recipient (LTUR)	Form	Modified	Available
Form ETA-9175 Qualified Long-term Unemployment Recipient (LTUR)	Form	Modified	Repair queued
Form ETA-9061 Individual Characteristics	Form and Instruction	Modified	Available
Form ETA-9061 Individual Characteristics	Form and Instruction	Modified	Repair queued
1205-0371 - Spanish Form 9061 no material change request_.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-23	Available
1205-0371 - Spanish Form 9061 no material change request_.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-23	Repair queued
1205-0371 - Supporting Statement 3.9.23 - CLEAN .docx	Supporting Statement A	Uploaded 2023-03-10	Available
1205-0371 - Supporting Statement 3.9.23 - CLEAN .docx	Supporting Statement A	Uploaded 2023-03-10	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
43791	Work Opportunity Tax Credit (WOTC)	Form and Instruction	Modified
43791	Work Opportunity Tax Credit (WOTC)	Form and Instruction	Modified
239192	Certification Workload and Characteristic of Certified Individuals	Form and Instruction	Modified
239192	Certification Workload and Characteristic of Certified Individuals	Form and Instruction	Modified
221431	Qualified Long-term Unemployment Recipient (LTUR)	Form	Modified
221431	Qualified Long-term Unemployment Recipient (LTUR)	Form	Modified
184551	Individual Characteristics	Form and Instruction	Modified
184551	Individual Characteristics	Form and Instruction	Modified

Record metadata
Status	Active
Agency/Subagency	DOL/ETA
OMB Control No	1205-0371
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202302-1205-001
Date Submitted to OIRA	2024-02-15
Requested Expiration Date	1969-12-31