Information Collection

State Agency Reports

IC 206172 under ICR 201211-1205-004 · OMB 1205-0511.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0511 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sample -States' Quarterly Report March 2013.docx	Instruction
Collection Instrument.docx	Other-data fields
1) Sample - State VRAP file, March 2013.docx	Instruction

IC Title:

State Agency 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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Sample -States' Quarterly Report March 2013.docx	Yes	Yes	Fillable Fileable
Other-data fields	Collection Instrument.docx	Yes	Yes	Fillable Fileable
Instruction	1) Sample - State VRAP file, March 2013.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: 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 New Statute
Annual Number of Responses for this IC	36,024	36,024
Annual IC Time Burden (Hours)	5,882	5,882
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.