Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0439 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9103-1 Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures Form
ETA 9103-1 PLANNING FORM 1- Regular Projects NEGProjectPlan-1RegularETA9103 11162006.doc Form
ETA 9103-2a PLANNING FORM 2 Disaster Projects Temporary Job Creation NEGProjectPlan-2DisasterWDSETA9103 11162006.doc Form
ETA 9103-2b PLANNING FORM 2 Disaster Projects Workforce Development NEGProjectPlan-2DisasterWDSETA9103 11162006.doc Form
ETA 9103-3 PLANNING FORM 3 Trade-WIA Dual Enrollment NEGProjectPlan-3TradeWIADualETA9103 11162006.doc Form
ETA-9103-4 PLANNING FORM 4 Trade Health Insurance Coverage Assistan NEGProjectPlan-4HCTCETA9103 11162006.doc Form
ETA-9104 Quarterly Report Form ETA 9104 Quarterly Report Form 11 08 2006.doc Form
ETA-9105 Employer Data Form ETA 9105 NEG Employer Data Form.doc Form
ETA-9106 Project Synopsis Form ETA 9106 NEG Project Synopsis Form.doc Form
ETA-9107 Project Operator Data Form ETA 9107 NEG Project Operator Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 671.140

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9103-1	PLANNING FORM 1- Regular Projects	NEGProjectPlan-1RegularETA9103 11162006.doc	Yes	Yes	Fillable Fileable
Form	ETA 9103-3	PLANNING FORM 3 Trade-WIA Dual Enrollment	NEGProjectPlan-3TradeWIADualETA9103 11162006.doc	Yes	Yes	Fillable Fileable
Form	ETA-9106	Project Synopsis Form	ETA 9106 NEG Project Synopsis Form.doc	Yes	Yes	Fillable Fileable
Form	ETA-9105	Employer Data Form	ETA 9105 NEG Employer Data Form.doc	Yes	Yes	Fillable Fileable
Form	ETA-9107	Project Operator Data Form	ETA 9107 NEG Project Operator Form.doc	Yes	Yes	Fillable Fileable
Form	ETA 9103-2a	PLANNING FORM 2 Disaster Projects Temporary Job Creation	NEGProjectPlan-2DisasterWDSETA9103 11162006.doc	Yes	Yes	Fillable Fileable
Form	ETA 9103-2b	PLANNING FORM 2 Disaster Projects Workforce Development Services	NEGProjectPlan-2DisasterWDSETA9103 11162006.doc	Yes	No	Fillable Fileable
Form	ETA-9103-4	PLANNING FORM 4 Trade Health Insurance Coverage Assistance	NEGProjectPlan-4HCTCETA9103 11162006.doc	Yes	Yes	Fillable Fileable
Form	ETA-9104	Quarterly Report Form	ETA 9104 Quarterly Report Form 11 08 2006.doc	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,565	1,565
Annual IC Time Burden (Hours)	1,096	1,096
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.