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⚠️ Notice: This information collection may be referencing outdated material.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-9104 Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures Form
ETA-9130-1 Planning FOrm, Regular Planning Form 9103-1 06-30-10.doc Form
ETA-9103-2a Planning Form (Disaster - Temporary Jobs Planning Form 9103-2a 06-30-10.doc Form
ETA-9103-2b Planning Form (Disaster-Workforce Development Systems Planning Form 9103-2b 06-30-10.doc Form
ETA-9103-3 Planning Form (Dual Enrollment) Planning Form 9103-3 06-30-10.doc Form
ETA-9104 Quarterly Performance Report Quarterly Performance Report Form 9104 06-30-10.doc Form
ETA-9105 Enployer Data Form Employer Data Form 9105 06-30-10.doc Form
ETA-9106 ETA-Project Synopsis Project Synopsis Form 9106 06-30-10.doc Form
ETA-9107 Project Operator Data Project Operator Data Form 9107 06-30-10.doc Form
ETA-9103-4 Planning Form (Health Care Tax Credit) Planning Form 9103-4 06-30-10.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-9104	Quarterly Performance Report	Quarterly Performance Report Form 9104 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9105	Enployer Data Form	Employer Data Form 9105 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9106	ETA-Project Synopsis	Project Synopsis Form 9106 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9107	Project Operator Data	Project Operator Data Form 9107 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-4	Planning Form (Health Care Tax Credit)	Planning Form 9103-4 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9130-1	Planning FOrm, Regular	Planning Form 9103-1 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-2a	Planning Form (Disaster - Temporary Jobs	Planning Form 9103-2a 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-2b	Planning Form (Disaster-Workforce Development Systems	Planning Form 9103-2b 06-30-10.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-3	Planning Form (Dual Enrollment)	Planning Form 9103-3 06-30-10.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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,535	-30	1,565
Annual IC Time Burden (Hours)	1,031	-65	1,096
Annual IC Cost Burden (Dollars)	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.