YouthBuild Work Site Description and Housing Census

OMB 1205-0464

Per the YouthBuild Transfer Act as well as Workforce Investment Act and its replacement Workforce Innovation and Opportunity Act and regulations 20 CFR part 672, YouthBuild grantees collect and report selected standardized information pertaining to customers in YouthBuild programs for the purposes of general program oversight, evaluation, and performance assessment. ETA provides all grantees with a YouthBuild management information system to use for collecting participant data and for preparing and submitting the required quarterly reports.

The latest form for YouthBuild Work Site Description and Housing Census expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA 9143 Annual Housing Census Form and Instruction
Form ETA 9143 Work Site Description (existing grantees) Form and Instruction
Form ETA 9143 Work Site Description (prospective applicants) Form and Instruction
Form ETA 9138 Participant Data Collection Form and Instruction
Form ETA 9136 Quarterly Performance Report Form and Instruction
1205-0464_YB_Supporting Statement_Clean.docx Supporting Statement A
Annual Housing Census Form and Instruction
Work Site Description (existing grantees) Form and Instruction
Work Site Description (prospective applicants) Form and Instruction
Participant Data Collection Form and Instruction
Quarterly Performance Report Form and Instruction

All Historical Document Collections

202405-1205-003	Revision of a currently approved collection	2024-08-22
202108-1205-004 Approved without change	Extension without change of a currently approved collection	2021-09-28
201806-1205-002 Approved without change	Revision of a currently approved collection	2018-08-31
201409-1205-004 Approved with change	Extension without change of a currently approved collection	2015-05-29
201107-1205-002 Approved without change	Revision of a currently approved collection	2012-04-19
201008-1205-002 Approved with change	Extension without change of a currently approved collection	2011-01-31
200806-1205-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-06-26
200804-1205-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-04-29
200706-1205-012 Approved without change	New collection (Request for a new OMB Control Number)	2007-08-10

OMB Details

Quarterly Performance Report

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form ETA 9136

MIS System, Quarterly Reports

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.