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Federal forms, ICRs, and supporting documents

Information Collection Request

Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste

ICR 200307-1205-007 · OMB 1205-0192 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
38383 Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste Form Migrated
ICR Details
1205-0192 200307-1205-007
Historical Active 200005-1205-002
DOL/ETA
Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/18/2003
Retrieve Notice of Action (NOA) 07/18/2003
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 07/31/2003
1,400 0 1,400
350 0 350
0 0 0
Petition used by American workers applying to U.S. Department of Labor for eligibility to receive worker Trade Adjustment Assistance in accordance with provisions of the Trade Act of 1974, as amended. The petition initiates action of part of the Department to determine if the workers are eligible.
None
None
No
1
IC Title Form No. Form Name
Petition for Adjustment Assistance/Solicitud De Asistencia Para Ajuste ETA-8560, ETA-8559
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,400 1,400 0 0 0 0
Annual Time Burden (Hours) 350 350 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/18/2003