Information Collection

Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2

IC 232726 under ICR 202605-1205-001 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form ETA 9124C2 Employer Survey Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2 Form
ETA 9124C2 Employer Survey ETA-9124C2_Employer Survey_Skip Question Version_Rev11523.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Non-Host Agency Employer Survey Pilot Project -- ETA-9124C2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9124C2	Employer Survey	ETA-9124C2_Employer Survey_Skip Question Version_Rev11523.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-750	750
Annual IC Time Burden (Hours)	-120	120
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.

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