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Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures
Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures
OMB: 1205-0439
IC ID: 13302
OMB.report
DOL/ETA
OMB 1205-0439
ICR 200904-1205-010
IC 13302
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0439 can be found here:
2022-08-30 - Revision of a currently approved collection
2019-09-23 - Extension without change of a currently approved collection
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:
Unchanged
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
URL
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 9103-2a
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 9103-3
PLANNING FORM 3 Trade-WIA Dual Enrollment
NEGProjectPlan-3TradeWIADualETA9103 11162006.doc
Yes
Yes
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
Form
ETA-9105
Employer Data Form
ETA 9105 NEG Employer Data Form.doc
Yes
Yes
Fillable Fileable
Form
ETA-9106
Project Synopsis Form
ETA 9106 NEG Project Synopsis Form.doc
Yes
Yes
Fillable Fileable
Form
ETA-9107
Project Operator Data Form
ETA 9107 NEG Project Operator Form.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,565
0
0
0
0
1,565
Annual IC Time Burden (Hours)
1,096
0
0
0
0
1,096
Annual IC Cost Burden (Dollars)
0
0
0
0
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.