The Work Opportunity Tax Credit (WOTC) is a Federal tax credit available to employers for hiring individuals from certain target groups who have consistently faced significant barrier to employment. This submission includes seven WOTC program forms as follows: ⢠ETA Form 9175, Revised November 2016 â Self-Attestation Form (SAF) for the Long-Term Unemployment Recipient ⢠ETA Form 9058 - Report 1, Revised November 2016 - Certification Workload and Characteristics of Certified Individuals ⢠ETA Form 9061, Revised November 2016 - Individual Characteristics Form ⢠ETA Form 9062, Revised April 2016 - Conditional Certification ⢠ETA Form 9063, Revised April 2016 - Employer Certification ⢠ETA Form 9065, Revised April 2016 - Agency Declaration of Verification Results Worksheet
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Work Opportunity Tax Credit (WOTC)