Information Collection

Win Reporting System

IC 120851 under ICR 198012-1205-007 · OMB 1205-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0128 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	WIN REPORTING SYSTEM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ETA-595,	No	No
Form	596, &	No	No
Form	MA 5-97	No	No
Form	ETA 595	No	No
Form	ETA 596	No	No
Form	MA 5-97	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,550,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,838,000	3,838,000
Annual IC Time Burden (Hours)	283,080	283,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.