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Workforce Investment Act: National Dislocated Workers Grant Application and Reporting Procedures

IC 13302 under ICR 201503-1205-002 · OMB 1205-0439.

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Workforce Investment Act: National Dislocated Workers Grant Application and Reporting Procedures
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 687.150

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9106 Project Synopsis Form Project Synopsis Form 9106 final.doc Yes Yes Fillable Fileable
Form ETA 9104 Quarterly Performance Report Quarterly Performance Report Form 9104 final.doc Yes Yes Fillable Fileable
Form ETA 9103-1 Planning Form Planning Form 9103(1) final.doc Yes Yes Fillable Fileable
Form ETA 9105 Employer Data Employer Data Form 9105 final.doc Yes Yes Fillable Fileable
Form ETA 9103-2(a) Planning Form (Disaster-Temporary Jobs) Planning Form 9103(2a) final.doc Yes Yes Fillable Fileable
Form 9103-2(b) Planning Form - Disaster Workforce Development Services Planning Form 9103(2b) final.doc Yes Yes Fillable Fileable
Form ETA 9107 Project Operator Data form Project Operator Data Form 9107 final.doc Yes Yes Fillable Fileable
Form 9103-3 Planning Form, Dual Enrollment Planning Form 9103(3) final.doc Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

159 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,587 89 -93 106 0 1,485
Annual IC Time Burden (Hours) 1,084 60 -24 42 0 1,006
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ETA 9105 Employer Data Form 9105 2-12-15.doc 03/09/2015
ETA 9103(1) Planning Form 9103(1) 2-24-15.doc 03/09/2015
ETA 9103(2) Planning Form 9103(2a) 2-24-15.doc 03/09/2015
eta 9103(2B) Planning Form 9103(2b) 2-24-15.doc 03/09/2015
eta 9103 (3) Planning Form 9103(3) 2-24-15.doc 03/09/2015
eta 9107 Project Operator Data Form 9107 2-12-15.doc 03/09/2015
ETA 9106 project synopsis Project Synopsis Form 9106 2-24-15.doc 03/09/2015
ETA 9104 quarterly performance report Quarterly Performance Report Form 9104 2-24-15.doc 03/09/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.