OMB control number

Migrant and Seasonal Farmworker Monitoring Report and Complaint/Apparent Violation Form

OMB 1205-0039 · DOL/ETA.

OMB 1205-0039

This information collection relates to the Wagner-Peyser Act, published January 6, 2020, which gives States increased flexibility in their administration of Employment Service activities funded under the Wagner-Peyser Act. The regulations align with the flexibility allowed under the Workforce Innovation and Opportunity Act (WIOA). Pursuant to 20 CFR 653.109, SWAs use ETA Form 5148 to submit quarterly data to ETA on the services they provide to MSFWs. ETA uses that data to monitor and measure the extent and effectiveness of SWA service delivery to MSFWs and overall compliance with 20 CFR 651, 653, and 658. Additionally, 20 CFR 658.602(e) requires the ETA National Office to develop tools and techniques for reviewing and assessing SWA performance and compliance with ES regulations; and 20 CFR 658.602(f)(2) requires the National Monitor Advocate to review the performance of SWAs in providing the full range of employment services to MSFWs. The collection of data through ETA Form 5148 allows ETA to comply with these regulations and monitor SWA performance. ETA requires that staff must ensure a complainant (or his/her representative) submits a complaint on the Complaint/Apparent Violation Form or another complaint form prescribed or approved by the Department or submits complaint information. The Complaint/Apparent Violation Form must be used for all complaints, including complaints about unlawful discrimination. ETA Form 8429 is helpful because it identifies whether a complainant is a Migrant and Seasonal Farmworker which implicates additional actions that must be taken.

The latest form for Migrant and Seasonal Farmworker Monitoring Report and Complaint/Apparent Violation Form expires 2027-03-31 and can be found here.

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Revision of a currently approved collection 2024-02-13
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Revision of a currently approved collection 2020-01-06
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Revision of a currently approved collection 2019-09-25
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Extension without change of a currently approved collection 2015-10-22
Comment filed on proposed rule and continue
Revision of a currently approved collection 2015-04-16
Approved without change
Revision of a currently approved collection 2012-02-29
Approved without change
No material or nonsubstantive change to a currently approved collection 2009-09-10
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Revision of a currently approved collection 2009-01-09
Approved without change
Extension without change of a currently approved collection 2005-09-29
Approved with change
Extension without change of a currently approved collection 2004-07-30
Approved without change
Revision of a currently approved collection 2002-10-17
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Extension without change of a currently approved collection 2000-09-14
Approved without change
Revision of a currently approved collection 1997-07-24
Approved without change
Reinstatement without change of a previously approved collection 1996-07-03
Withdrawn and continue
Extension without change of a currently approved collection 1996-03-19
Approved without change
Revision of a currently approved collection 1993-12-29
Approved without change
Revision of a currently approved collection 1993-01-25
Approved without change
Revision of a currently approved collection 1989-10-19
Approved without change
Revision of a currently approved collection 1987-01-29
Approved without change
Extension without change of a currently approved collection 1985-11-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-09-05
Approved without change
Revision of a currently approved collection 1984-08-24
Approved without change
Revision of a currently approved collection 1984-01-31
Approved with change
No material or nonsubstantive change to a currently approved collection 1983-12-20
Approved without change
Revision of a currently approved collection 1980-05-14
Approved without change
Extension without change of a currently approved collection 1979-09-10
Approved without change
Extension without change of a currently approved collection 1978-09-25
Approved without change
Extension without change of a currently approved collection 1976-12-27
Approved without change
New collection (Request for a new OMB Control Number) 1975-07-14
OMB Details

Job Service Complaint Reporting and Third Party Disclosure (ETA 8429)

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form ETA 8429Compliant-Apparent Violation FormFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.