OMB
.report
Search
Supplemental Youth Services Program Report (Tribal Govermment Grantees)
Reporting and Performance Standards for WIA Indian and Native American Programs
OMB: 1205-0422
IC ID: 45442
OMB.report
DOL/ETA
OMB 1205-0422
ICR 201511-1205-002
IC 45442
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0422 can be found here:
2020-01-31 - Revision of a currently approved collection
2016-09-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
INA-SPIR-Specifications- may 2013.doc
Instruction
ETA 9084 General Reporting Instructions for the Comprehensive Ser
ETA 9084 General Reporting Instructions September 5 20131final.doc
Form and Instruction
ETA 9084 General Reporting Instructions September 5 20131.doc
ETA 9084 Services Program Report Added Fields Yellow Highlighted
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Youth Services Program Report (Tribal Govermment Grantees)
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 652
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
INA-SPIR-Specifications- may 2013.doc
Yes
Yes
Fillable Fileable
Form and Instruction
ETA 9084
General Reporting Instructions for the Comprehensive Services Program Report and Standardized Participant Information Record Data
ETA 9084 General Reporting Instructions September 5 20131final.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:
DOL/ETA-15
FR Citation:
67 FR 16898
Number of Respondents:
81
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
324
0
0
0
0
324
Annual IC Time Burden (Hours)
7,776
0
0
0
0
7,776
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
ETA 9084 Services Program Report Added Fields Yellow Highlighted
ETA 9084 General Reporting Instructions September 5 20131.doc
09/17/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.