OMB control number
Self-Employment Assistance (SEA) Program
OMB 1205-0490 ยท DOL/ETA.
OMB 1205-0490
Reporting Form ETA-9161, Self-Employment Assistance, includes information about people who enter the SEA program and the benefits they receive and some limited outcome data. These data are used for oversight and to provide data responsive to statutorily required evaluations of this program. A State summarizes information collected from SEA program participants to prepare the reports.
The latest form for Self-Employment Assistance (SEA) Program expires 2029-02-28 and is listed under ICR 202410-1205-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form ETA-9161 Self-Employment Assistance | Form and Instruction |
| Form ETA-9161 State Reporting, Self-Employment Assistance | Form and Instruction |
| Form ETA-9161 Self-Employment Assistance | Form and Instruction |
| Form ETA-9161 Participant Disclosures to States | Form and Instruction |
| Form ETA 9161 Self-Employment Assistance | Form and Instruction |
| Form ETA 9161 State Records on Participants | Form and Instruction |
| 1205-0490 Supporting Statement_11.1.24.docx | Supporting Statement A |
| 1205-0490 Supporting Statement_11.1.24.docx | Supporting Statement A |
 State Reporting, Self-Employment Assistance |
Form and Instruction |
| State Reporting, Self-Employment Assistance |
Form and Instruction |
| Participant Disclosures to States |
Form and Instruction |
| Participant Disclosures to States |
Form and Instruction |
| State Records on Participants |
Form and Instruction |
| State Records on Participants |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202410-1205-008 | Extension without change of a currently approved collection | 2024-12-12 | ||
| 202112-1205-012 | Extension without change of a currently approved collection | 2022-01-28 | Approved without change | |
| 201810-1205-001 | Extension without change of a currently approved collection | 2019-03-01 | Approved with change | |
| 201508-1205-007 | Revision of a currently approved collection | 2015-10-14 | Approved without change | |
| 201208-1205-005 | Extension without change of a currently approved collection | 2012-09-17 | Approved without change | |
| 201203-1205-005 | New collection (Request for a new OMB Control Number) | 2012-03-13 | Approved with change |
OMB Details
State Records on Participants
Federal Enterprise Architecture: Income Security - Unemployment Compensation
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form ETA 9161 | Self-Employment Assistance | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.