Information Collection

ETA Form 9205 (SAA)

IC 239257 under ICR 202401-1205-005 · OMB 1205-0223.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0223 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA Form 9205 ETA Form 9205 (SAA)	Form
Form ETA Form 9205 RAIR Layout ETA Form 9205 (SAA)	Form
ETA Form 9205 RAIR Layout ETA Form 9205 RAIR Layout (v.2 final 12-7-23).xlsx	Form
ETA Form 9205 RAIR Layout ETA Form 9205 RAIR Layout (v.2 final 12-7-23).xlsx	Form

IC Title:

ETA Form 9205 (SAA)

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 Form 9205	RAIR Layout	ETA Form 9205 RAIR Layout (v.2 final 12-7-23).xlsx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	40	-2,099	2,139
Annual IC Time Burden (Hours)	80	-455	535
Annual IC Cost Burden (Dollars)	0	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.