Information Collection

Individual Characteristics

IC 184551 under ICR 202308-1205-002 · OMB 1205-0371.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9061 Individual Characteristics	Form and Instruction
Form ETA-9061 Individual Characteristics	Form and Instruction
ETA-9061 Individual Characteristics Form (ICF) ETA_Form_9061_Individual_Characteristics_Form.pdf	Form and Instruction
ETA-9061 Individual Characteristics Form (ICF) ETA_Form_9061_Individual_Characteristics_Form.pdf	Form and Instruction
ETA-9062 Conditional Certification Form (CC) ETA_Form_9062_Conditional_Certification.pdf	Form and Instruction
ETA-9062 Conditional Certification Form (CC) ETA_Form_9062_Conditional_Certification.pdf	Form and Instruction
ETA-9198 Employer Representative Declaration ETA_Form_9198_Employer_Representative_Declaration_Form.pdf	Form and Instruction
ETA-9198 Employer Representative Declaration ETA_Form_9198_Employer_Representative_Declaration_Form.pdf	Form and Instruction
ETA-9061 Individual Characteristics Form (Spanish) ETA_Form_9061_Individual_Characteristics_Form.pdf	Form and Instruction
ETA-9061 Individual Characteristics Form (Spanish) ETA_Form_9061_Individual_Characteristics_Form.pdf	Form and Instruction
ETA Form 9061 - redline draft.docx ETA 9061 - Tracked Changes	IC Document
ETA Form 9061 - redline draft.docx ETA 9061 - Tracked Changes	IC Document
ETA Form 9062 - redline draft.docx ETA-9062 Tracked Changes	IC Document
ETA Form 9062 - redline draft.docx ETA-9062 Tracked Changes	IC Document

IC Title:

Individual Characteristics

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9061	Individual Characteristics Form (ICF)	ETA_Form_9061_Individual_Characteristics_Form.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9062	Conditional Certification Form (CC)	ETA_Form_9062_Conditional_Certification.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9198	Employer Representative Declaration	ETA_Form_9198_Employer_Representative_Declaration_Form.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9061	Individual Characteristics Form (Spanish)	ETA_Form_9061_Individual_Characteristics_Form.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-15

FR Citation: 75 FR 6884

Number of Respondents: 9,185,562

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	9,185,562	9,185,562
Annual IC Time Burden (Hours)	3,031,235	3,031,235
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ETA 9061 - Tracked Changes	ETA Form 9061 - redline draft.docx	02/14/2023
ETA-9062 Tracked Changes	ETA Form 9062 - redline draft.docx	02/14/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.