Information Collection

WIA Management Information and Reporting System

IC 13261 under ICR 201603-1205-007 · OMB 1205-0420.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9090 WIA Management Information and Reporting System	Form
WIAQuarterlyReportSpecifications Final.docx	Instruction
WIAAnnualReportSpecifications_Final.docx	Instruction
ETA 9090 Quarterly Report Form Blank 9090 Final.xlsx	Form
ETA 9091 Annual Report Form Blank 9091 Final.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 667.300

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9090	Quarterly Report Form	Blank 9090 Final.xlsx	Yes	Yes	Fillable Fileable
Form	ETA 9091	Annual Report Form	Blank 9091 Final.xlsx	Yes	Yes	Fillable Fileable
Instruction			WIAQuarterlyReportSpecifications Final.docx	Yes	Yes	Fillable Fileable
Instruction			WIAAnnualReportSpecifications_Final.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: 53

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,217	10,005	212
Annual IC Time Burden (Hours)	15,202	-3,726	18,928
Annual IC Cost Burden (Dollars)	0	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.