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Federal forms, ICRs, and supporting documents

Information Collection Request

Indian and Native American Welfare-to-Work Program - Report Forms and Instructions

ICR 200409-1205-006 · OMB 1205-0386 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
38398 Indian and Native American Welfare-to-Work Program - Report Forms and Instructions Form Migrated
ICR Details
1205-0386 200409-1205-006
Historical Active 200310-1205-001
DOL/ETA
Indian and Native American Welfare-to-Work Program - Report Forms and Instructions
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/2004
Retrieve Notice of Action (NOA) 09/30/2004
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004 09/30/2004
6,920 0 6,920
22,680 0 22,680
396,000 0 396,000
This request is for reinstatement of a previously-approved reporting package that expired on 09/30/2001. The period available for expenditure of INA WtW funds has been extended by statute for an additional two years, so that the last possible report(s) submitted would be for the period (quarter) ending 09/30/2004. The proposed changes to section II of ETA 9069 are indicated in statute by the 1999 Amendments. Other than the accompanying changes to the instructions, there are otherwise no changes to the previously-approved package.
None
None
No
1
IC Title Form No. Form Name
Indian and Native American Welfare-to-Work Program - Report Forms and Instructions ETA-9069, ETA-9069-1
  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 6,920 6,920 0 0 0 0
Annual Time Burden (Hours) 22,680 22,680 0 0 0 0
Annual Cost Burden (Dollars) 396,000 396,000 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.
09/30/2004