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Work Site Description (prospective applicants)
YouthBuild Work Site Description and Housing Census
OMB: 1205-0464
IC ID: 200351
OMB.report
DOL/ETA
OMB 1205-0464
ICR 202405-1205-003
IC 200351
( )
Documents and Forms
Document Name
Document Type
Form ETA 9143
Work Site Description (prospective applicants)
Form and Instruction
ETA 9143 Work Site Description and Annual Housing Census Forms
Work Site Description Form.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Work Site Description (prospective applicants)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA 9143
Work Site Description and Annual Housing Census Forms
Work Site Description Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
230
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
90 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
230
0
0
0
0
230
Annual IC Time Burden (Hours)
39
0
0
0
0
39
Annual IC Cost Burden (Dollars)
0
0
0
0
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.