Information Collection

Reporting Requirements for Tribal Government Grantees

IC 13267 under ICR 200609-1205-003 · OMB 1205-0422.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0422 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9085 Reporting Requirements for Tribal Government Grantees Form and Instruction
ETA-9084 Comprehensive Services Auarterly Performance Report 10 12 2006 rev_9084 CSP report Form.xls Form
ETA-9080 Financial Status Report Attachment- C -INA-9080-Financial Status Report-030106.pdf www.etareports.doleta.gov/CFDOCS/grantee_prod/reporting/index.cfm Form
ETA-9085 Supplemental Services System Report Attachment-B-INA-9085-SYS-Report-Revision-0213062.doc www.etareports.doleta.gov/CFDOCS/grantee_prod/reporting/index.cfm Form and Instruction
ETA-9085 Reporting Instructions for the Supplemental Youth Servic Attachment-B-INA-9085-SYS-Report-Revision-0213062.doc www.etareports.doleta.gov/CFDOCS/grantee_prod/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Requirements for Tribal Government Grantees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 652 et al

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9085	Reporting Instructions for the Supplemental Youth Services Program Report	Attachment-B-INA-9085-SYS-Report-Revision-0213062.doc	http://www.etareports.doleta.gov/CFDOCS/grantee_prod/	Yes	Yes	Fillable Fileable
Form	ETA-9080	Financial Status Report	Attachment- C -INA-9080-Financial Status Report-030106.pdf	http://www.etareports.doleta.gov/CFDOCS/grantee_prod/reporting/index.cfm	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9085	Supplemental Services System Report	Attachment-B-INA-9085-SYS-Report-Revision-0213062.doc	http://www.etareports.doleta.gov/CFDOCS/grantee_prod/reporting/index.cfm	Yes	Yes	Fillable Fileable
Form	ETA-9084	Comprehensive Services Auarterly Performance Report	10 12 2006 rev_9084 CSP report Form.xls		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 98	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,936	-12,814	26,750
Annual IC Time Burden (Hours)	57,622	-26,252	83,874
Annual IC Cost Burden (Dollars)	523,577	-481,423	1,005,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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