Information Collection

Form ETA-9141 and Related Requirements

IC 204363 under ICR 202602-1205-002 · OMB 1205-0508.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9141 Application for Prevailing Wage Determination Form ETA-9141 and Related Requirements	Form
Form ETA-9141 General Instructions.docx	Instruction
Form ETA-9141 App A.docx	Other-Appendix A
ETA 9141 Application for Prevailing Wage Determination Form ETA-9141.docx	Form
Form ETA-9141 1205-0508 Tracked.docx Tracked 9141	IC Document
Form ETA-9141_Instructions 1205-0508 Tracked.docx 9141 Instruction Tracked	IC Document
Form ETA-9141 App A 1205-0508 Tracked.docx 9141 Appendix A Tracked	IC Document
Screenshots for Form ETA-9141 1205-0508.docx 9141 Screenshots	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 655.10 8 CFR 214.2(h)(6) 20 CFR 655.731 20 CFR 650.40

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9141	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Other-Appendix A		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-7

FR Citation: 87 FR 8292

Number of Respondents: 60,930

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	498,253	167,192	331,061
Annual IC Time Burden (Hours)	226,218	77,706	148,512
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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