Information Collection

Employment Service Program Reporting System

IC 121237 under ICR 199002-1205-001 · OMB 1205-0240.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0240 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	EMPLOYMENT SERVICE PROGRAM 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	SF 269A	No	No
Form	VETS 200,	No	No
Form	300,	No	No
Form	9002	No	No
Form	ETA 9001	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	216	0	216
Annual IC Time Burden (Hours)	3,028	152	2,876
Annual IC Cost Burden (Dollars)	0	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.