Information Collection

Reporting Requirements for Tribal Government Grantees, Adult and Youth Programs

IC 13267 under ICR 200906-1205-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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, Adult and Youth Programs Form and Instruction
1205-0422 SPIR instructions.doc Instruction
ETA-9084 Comprehensive Services Quarterly Report 9084 CSP report Form.xls Form and Instruction
ETA-9085 Summer Youth Program Report 9085 SYSP report form W Highlights.xls Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Requirements for Tribal Government Grantees, Adult and Youth Programs	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9085	Summer Youth Program Report	9085 SYSP report form W Highlights.xls	Yes	Yes	Fillable Fileable
Instruction			1205-0422 SPIR instructions.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9084	Comprehensive Services Quarterly Report	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: 85	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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,074	0	3,138	0	13,936
Annual IC Time Burden (Hours)	73,965	680	15,663	0	57,622
Annual IC Cost Burden (Dollars)	0	0	0	-523,577	523,577

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.