Information Collection

Eta 9178

IC 212051 under ICR 202401-1205-002 · OMB 1205-0517.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9178 ETA 9178	Form
Reporting Instructions_ETA 9178.docx	Instruction
Reporting Instructions_ETA 9178.docx	Instruction
ETA 9178 Quarterly Reporting Form for Supplemental Activities Quarterly Narrative Progress Report_ETA9178.docx	Form
ETA 9178 Quarterly Reporting Form for Supplemental Activities Quarterly Narrative Progress Report_ETA9178.docx	Form

IC Title:

ETA 9178

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9178	Quarterly Reporting Form for Supplemental Activities	Quarterly Narrative Progress Report_ETA9178.docx		Yes	Yes	Fillable Printable
Instruction			Reporting Instructions_ETA 9178.docx		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	228	228
Annual IC Time Burden (Hours)	1,140	1,140
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.