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ETA-9042, 9042a
Petition Requirements and Investigative Data Collection: Trade Act of 1974, as Amended
OMB: 1205-0342
IC ID: 13133
OMB.report
DOL/ETA
OMB 1205-0342
ICR 202207-1205-002
IC 13133
( )
Documents and Forms
Document Name
Document Type
Form ETA-9042
ETA-9042, 9042a
Form and Instruction
ETA-9042 Petition for TAA
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form (2).docx
Form and Instruction
ETA-9042 Petition for TAA
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form (2).docx
Form and Instruction
ETA-9042 Petition for TAA Spanish
ETA-9042 Petition for TAA - Spanish - Reversion 2021.docx
Form and Instruction
ETA-9042 Petition for TAA Spanish
ETA-9042 Petition for TAA - Spanish - Reversion 2021.docx
Form and Instruction
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form.docx
Screenshots
IC Document
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form.docx
Screenshots
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ETA-9042, 9042a
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ETA-9042
Petition for TAA
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form (2).docx
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-9042
Petition for TAA Spanish
ETA-9042 Petition for TAA - Spanish - Reversion 2021.docx
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:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
1,200
0
0
0
0
1,200
Annual IC Time Burden (Hours)
400
0
0
0
0
400
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screenshots
ETA-9042 Petition for TAA - English - Reversion 2021_Online Form.docx
05/25/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.