Information Collection

YouthBuild Participant Data

IC 180994 under ICR 200804-1205-006 · OMB 1205-0464.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0464 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9136 YouthBuild Participant Data Form
ETA 9136 YouthBuild Performance Report YouthBuild Performance Report ETA-Form 9136 .xls Form
ETA-9143 Housing Site Description Exhibit 1A Housing Site Description.xls Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	YouthBuild Participant Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9136	YouthBuild Performance Report	YouthBuild Performance Report ETA-Form 9136 .xls		Yes	Yes	Fillable Fileable
Form	ETA-9143	Housing Site Description	Exhibit 1A Housing Site Description.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: 85	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	5,400	5,400
Annual IC Cost Burden (Dollars)	0	0

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.