Information Collection

Participant Survey Pilot Project -- ETA-9124A

IC 215838 under ICR 202605-1205-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9124A Participant Survey Participant Survey Pilot Project -- ETA-9124A	Form
TEGL_17-17_PY 18 Planning Instructions and Allotments for SCSEP.PDF	Instruction
TEGL 20-20.pdf	Instruction
ETA 9124A Participant Survey ETA-9124A_PARTICIPANT Survey.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		Yes	Yes	Printable Only
Instruction		Yes	Yes	Printable Only
Form	ETA 9124A	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,100	2,100
Annual IC Time Burden (Hours)	-273	273
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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