OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Eta-9042, Eta-9042a

IC 243237 under ICR 202008-1205-005 · OMB 1205-0544.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

ETA-9042, ETA-9042A
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ETA 9042 Petition for TAA ETA-9042 Petition for TAA - English.docx Yes Yes Fillable Fileable
Form and Instruction ETA 9042 Petition for TAA ETA-9042 Petition for TAA - Spanish.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

1,200 0
   
Individuals or Households
 
   80 %

  Approved 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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 400 0 400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screen shots ETA-9042 EBSS Petition Screenshots.docx 08/21/2020
Web App Test Petition ETA-9042 Webapp Test Petition.pdf 08/21/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.