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

National Emergency Grant 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⚠️ Notice: This information collection may be referencing outdated material.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-9103-3 Workforce Investment Act: National Emergency Grant (NEG) Assistance-Application and Reporting Procedures Form
OJT_NEG_Implementation_Plan[1] from 2010 submission.doc Instruction
ETA 9103 Planning Form (Regular) Planning Form 9103-1 07-31-2013.doc Form
ETA-9103-2a Planning Form (Disaster-Temporary Jobs) Planning Form 9103-2a 7-31-13.doc Form
ETA-9103-2b Planning Form (Disaster Workforce Development Services) Planning Form 9103-2b 07-31-13.doc Form
ETA-9103-3 Planning Form (Dual Enrollment) Planning Form 9103-3 07-31-13.doc Form
ETA-9103-4 Planning Form (Trade Act Health Insurance) Planning Form 9103-4 7-31-13.doc Form
ETA-9104 Quarterly Performance Report Quarterly Performance Report Form 9104 7-31-13.doc Form
ETA-9105 Employer Data Form Employer Data Form 9105 07-31-13.doc Form
ETA-9106 Project Synopsis Form Project Synopsis Form 9106 7-31-13.doc Form
ETA-9107 Project Operator Data Form Project Operator Data Form 9107 07-31-13.doc Form

Information Collection (IC) Details

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-9103-3	Planning Form (Dual Enrollment)	Planning Form 9103-3 07-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-4	Planning Form (Trade Act Health Insurance)	Planning Form 9103-4 7-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9104	Quarterly Performance Report	Quarterly Performance Report Form 9104 7-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9105	Employer Data Form	Employer Data Form 9105 07-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9106	Project Synopsis Form	Project Synopsis Form 9106 7-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9107	Project Operator Data Form	Project Operator Data Form 9107 07-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA 9103	Planning Form (Regular)	Planning Form 9103-1 07-31-2013.doc	Yes	Yes	Fillable Fileable
Instruction			OJT_NEG_Implementation_Plan[1] from 2010 submission.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-2a	Planning Form (Disaster-Temporary Jobs)	Planning Form 9103-2a 7-31-13.doc	Yes	Yes	Fillable Fileable
Form	ETA-9103-2b	Planning Form (Disaster Workforce Development Services)	Planning Form 9103-2b 07-31-13.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	1,485	-50	1,535
Annual IC Time Burden (Hours)	1,006	-25	1,031
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.