Information Collection

Work Site Description (existing grantees)

IC 201498 under ICR 202405-1205-003 · OMB 1205-0464.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9143 Work Site Description (existing grantees)	Form and Instruction
ETA 9143 Work Site Description and Annual Housing Census Forms Work Site Description Form.pdf	Form and Instruction
ETA 9143 Worksite Description and Annual Housing Census Form Housing Census Form.pdf	Form and Instruction

IC Title:

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 and Instruction	ETA 9143	Work Site Description and Annual Housing Census Forms	Work Site Description Form.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9143	Worksite Description and Annual Housing Census Form	Housing Census Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 210

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	210	210
Annual IC Time Burden (Hours)	105	105
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.