Information Collection

Participant Customer Satisfaction – ETA-9124A

IC 264386 under ICR 202401-1205-001 · OMB 1205-0040.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9124A Participant Customer Satisfaction – ETA-9124A	Form
ETA 9124A Participant Survey ETA-9124A_PARTICIPANT Survey.pdf	Form
ETA 9124A Participant Survey ETA-9124A_PARTICIPANT Survey.pdf	Form

IC Title:

Participant Customer Satisfaction â ETA-9124A

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 641

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9124A	Participant Survey	ETA-9124A_PARTICIPANT Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,712

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,712	8,712
Annual IC Time Burden (Hours)	1,394	1,394
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.