Information Collection

ETA Form 671 (Apprentice)

IC 263982 under ICR 202312-1205-012 · OMB 1205-0559.

Documents and Forms

Document Name Document Type
Form ETA Form 671, Part ETA Form 671 (Apprentice) Form
Form ETA Form 671, Part Program Registration ETA Form 671 (Apprentice) Form
Form ETA Form 671, Part Apprenticeship Agreement Apprentice Registration ETA Form 671 (Apprentice) Form
Form ETA Form 671, Part Group Program Participating Employer Tear-Off ETA Form 671 (Apprentice) Form
Form ETA Form 671, Part Voluntary Disability Disclosure ETA Form 671 (Apprentice) Form
ETA Form 671, Part Program Registration ETA Form 671 Part I - Program Registration (v.2 final 12-4-23).docx Form
ETA Form 671, Part Program Registration ETA Form 671 Part I - Program Registration (v.2 final 12-4-23).docx Form
ETA Form 671, Part Apprenticeship Agreement Apprentice Registration ETA Form 671 Part II - Apprenticeship Agreement_Apprentice Registration (v.2 final 12-4-23).docx Form
ETA Form 671, Part Apprenticeship Agreement Apprentice Registration ETA Form 671 Part II - Apprenticeship Agreement_Apprentice Registration (v.2 final 12-4-23).docx Form
ETA Form 671, Part Group Program Participating Employer Tear-Off ETA Form 671 Part IA - Group Program Participating Employer Tear-off (v.2 final 12-4-23).docx Form
ETA Form 671, Part Group Program Participating Employer Tear-Off ETA Form 671 Part IA - Group Program Participating Employer Tear-off (v.2 final 12-4-23).docx Form
ETA Form 671, Part Voluntary Disability Disclosure ETA Form 671 Part IIA - Voluntary Disability Disclosure (final 12-4-23).docx Form
ETA Form 671, Part Voluntary Disability Disclosure ETA Form 671 Part IIA - Voluntary Disability Disclosure (final 12-4-23).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ETA Form 671 (Apprentice)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR Part 30 29 CFR Part 29, Subpart A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA Form 671, Part I	Program Registration	ETA Form 671 Part I - Program Registration (v.2 final 12-4-23).docx	Yes	Yes	Fillable Fileable
Form	ETA Form 671, Part II	Apprenticeship Agreement Apprentice Registration	ETA Form 671 Part II - Apprenticeship Agreement_Apprentice Registration (v.2 final 12-4-23).docx	Yes	Yes	Fillable Fileable
Form	ETA Form 671, Part IA	Group Program Participating Employer Tear-Off	ETA Form 671 Part IA - Group Program Participating Employer Tear-off (v.2 final 12-4-23).docx	Yes	Yes	Fillable Fileable
Form	ETA Form 671, Part IIA	Voluntary Disability Disclosure	ETA Form 671 Part IIA - Voluntary Disability Disclosure (final 12-4-23).docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 642,631	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	642,631	642,631
Annual IC Time Burden (Hours)	219,143	219,143
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.