MIS Data Entry-Grantees

H-1B Technical Skills Training Grants and H-1B Jobs and Innovation Accelerator Challenge Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0507 can be found here:

Documents and Forms

Document Name Document Type
H-1B_Data_Elements_-_Performance__Evaluation OMB final 2013.xlsx Other-Data Elements
H-1B Performance Reporting Handbook_RTW_CLEAN_10-22-2014.docx Instruction
H-1B Performance Reporting Handbook Feb 25 2013 final.docx Instruction
ETA Form No. 9166 H-1B Standardized Quarterly Performance Progress Report H-1B Standard QPR Form OMB 1205-0507 Exp 03-31-2016_RTW_CLEAN_10-22-2014.xlsx Form
H-1B Standard QPR Form OMB 1205-0507 Exp 03-31-2016_RTW_ TrackChge_version.xlsx Standard QPR Form IC Document
H-1B Performance Reporting Handbook_RTW_TrackChge_version.docx H-1B Performance Reporting Handbook (TrackChange) IC Document

Information Collection (IC) Details

IC Title:	MIS Data Entry-Grantees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Elements			H-1B_Data_Elements_-_Performance__Evaluation OMB final 2013.xlsx	Yes	Yes	Fillable Fileable
Instruction			H-1B Performance Reporting Handbook_RTW_CLEAN_10-22-2014.docx	Yes	Yes	Fillable Fileable
Form	ETA Form No. 9166	H-1B Standardized Quarterly Performance Progress Report Form	H-1B Standard QPR Form OMB 1205-0507 Exp 03-31-2016_RTW_CLEAN_10-22-2014.xlsx	Yes	Yes	Fillable Fileable
Instruction			H-1B Performance Reporting Handbook Feb 25 2013 final.docx	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL-ETA -15	FR Citation: 75 FR 6884

Number of Respondents: 151	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	45,300	45,300
Annual IC Time Burden (Hours)	90,615	90,615
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Standard QPR Form	H-1B Standard QPR Form OMB 1205-0507 Exp 03-31-2016_RTW_ TrackChge_version.xlsx	12/18/2014
H-1B Performance Reporting Handbook (TrackChange)	H-1B Performance Reporting Handbook_RTW_TrackChge_version.docx	01/05/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.