Self-Employment Assistance (SEA) Program

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 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA-9161 State Reporting, Self-Employment Assistance Form and Instruction
Form ETA-9161 Participant Disclosures to States Form and Instruction
Form ETA 9161 State Records on Participants Form and Instruction
1205-0490 Supporting Statement 010322.docx Supporting Statement A
State Reporting, Self-Employment Assistance Form and Instruction
Participant Disclosures to States Form and Instruction
State Records on Participants Form and Instruction

All Historical Document Collections

202112-1205-012 Approved without change	Extension without change of a currently approved collection	2022-01-28
201810-1205-001 Approved with change	Extension without change of a currently approved collection	2019-03-01
201508-1205-007 Approved without change	Revision of a currently approved collection	2015-10-14
201208-1205-005 Approved without change	Extension without change of a currently approved collection	2012-09-17
201203-1205-005 Approved with change	New collection (Request for a new OMB Control Number)	2012-03-13

OMB Details

State Records on Participants

Federal Enterprise Architecture: Income Security - Unemployment Compensation

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.