Information Collection

ETA 9039 (Apprentice)

IC 246736 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⚠️ Notice: This information collection may be referencing outdated material.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 9039, Par ETA 9039 (Apprentice)	Form and Instruction
Form ETA Form 9039, Par Complaint Form – Equal Employment Opportunity in Apprenticeship Programs ETA 9039 (Apprentice)	Form and Instruction
ETA Form 9039, Par Complaint Form – Equal Employment Opportunity in Apprent ETA Form 9039 - Part 30 EEO in Apprenticeship Complaint Form (final 12-4-23).docx	Form and Instruction
ETA Form 9039, Par Complaint Form – Equal Employment Opportunity in Apprent ETA Form 9039 - Part 30 EEO in Apprenticeship Complaint Form (final 12-4-23).docx	Form and Instruction

IC Title:

ETA 9039 (Apprentice)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 30.14

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 and Instruction	ETA Form 9039, Part 30	Complaint Form â Equal Employment Opportunity in Apprenticeship Programs	ETA Form 9039 - Part 30 EEO in Apprenticeship Complaint Form (final 12-4-23).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	10	10
Annual IC Time Burden (Hours)	10	5	5
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.