Information Collection

ETA Form 671 - Sponsor

IC 13056 under ICR 202401-1205-005 · OMB 1205-0223.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0223 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 671, Part I ETA Form 671 - Sponsor Form and Instruction
Form ETA 671, Part I Program Registration ETA Form 671 - Sponsor Form and Instruction
Form ETA Form 671, Part Voluntary Disability Disclosure ETA Form 671 - Sponsor Form
Form ETA Form 671, Part Group Program Participating Employer Tear-Off ETA Form 671 - Sponsor Form
ETA 671, Part I Program Registration ETA Form 671 Part I - Program Registration (v.2 final 12-4-23).docx Form and Instruction
ETA 671, Part I Program Registration ETA Form 671 Part I - Program Registration (v.2 final 12-4-23).docx Form and Instruction
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
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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ETA Form 671 - Sponsor	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 29 and 30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 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 IIA	Voluntary Disability Disclosure	ETA Form 671 Part IIA - Voluntary Disability Disclosure (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

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,380	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	Previously Approved
Annual Number of Responses for this IC	25,380	22,247	3,133
Annual IC Time Burden (Hours)	7,459	5,109	2,350
Annual IC Cost Burden (Dollars)	0	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.