Information Collection

Performance

IC 272422 under ICR 202411-1205-003 · OMB 1205-0219.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9190A, 9190B a Performance	Form
Form ETA 9190A, 9190B a Grant Data Collection Form Performance	Form
ETA 9190A, 9190B a Grant Data Collection Form ETA 9190 A_B_C_Grants_Data Collection Forms_EO 14168 Changes (1).docx	Form
ETA 9190A, 9190B a Grant Data Collection Form ETA 9190 A_B_C_Grants_Data Collection Forms_EO 14168 Changes (1).docx	Form

IC Title:

Performance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 686

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 9190A, 9190B and 9190C				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/GOVT-2. (Job Corps Student Records)

FR Citation: 67 FR 16815

Number of Respondents: 84

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	103,600	103,600
Annual IC Time Burden (Hours)	10,360	10,360
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.

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