Information Collection

WIA individual records submitted as quarterly reports

IC 188874 under ICR 200904-1205-008 · OMB 1205-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-WIASRD WIA individual records submitted as quarterly reports	Form
ETA-WIASRD WIASRD Specifications, Record Layout WIASRD_Specifications_101608.xls	Form

IC Title:

WIA individual records submitted as quarterly reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-WIASRD	WIASRD Specifications, Record Layout	WIASRD_Specifications_101608.xls		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	216	216
Annual IC Time Burden (Hours)	573,160	573,160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.