ETA 5140 and ETA 9191

Senior Community Service Employment Program (SCSEP)

Documents and Forms

Document Name Document Type
Form ETA 9120, ETA 9121 ETA 5140 and ETA 9191 Form and Instruction
ETA 9120, ETA 9121 SPARQ Data Collection Forms ETA 9120, ETA 9121, ETA 9122, and ETA 9123.pdf Form and Instruction
ETA 9120, ETA 9121 SPARQ Data Collection Forms ETA 9120, ETA 9121, ETA 9122, and ETA 9123.pdf Form and Instruction
ETA 9191 GPMS Data Collection Instrument ETA Form 9191 GPMS Data Collection Instrument 08032021.xlsx Form and Instruction
ETA 9191 GPMS Data Collection Instrument ETA Form 9191 GPMS Data Collection Instrument 08032021.xlsx Form and Instruction
ETA 5140 SCSEP Quarterly Progress Report ETA-5140 - SCSEP Quarterly Progress Report.pdf Form and Instruction
ETA 5140 SCSEP Quarterly Progress Report ETA-5140 - SCSEP Quarterly Progress Report.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	ETA 5140 and ETA 9191	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 641.500-740 and 879(b) 42 CFR 3056

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9120, ETA 9121, ETA 9022, ETA 9123	SPARQ Data Collection Forms	ETA 9120, ETA 9121, ETA 9122, and ETA 9123.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9191	GPMS Data Collection Instrument	ETA Form 9191 GPMS Data Collection Instrument 08032021.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 5140	SCSEP Quarterly Progress Report	ETA-5140 - SCSEP Quarterly Progress Report.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,853	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-50,853	50,853
Annual IC Time Burden (Hours)	-152,559	152,559
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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