Information Collection

MIS Data Entry-Grantees

IC 201975 under ICR 201604-1205-006 · OMB 1205-0507.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attach L_H-1B Data Elements for Performance and Evaluation.xlsx	Other-Data Elements
Attach B_H-1B RTW Performance Handbook_Final.docx	Instruction
ETA Form No. 9166 H-1B Standardized Quarterly Performance Progress Report Attach G_H-1B RTW QPR Form_Final.xlsx	Form
Baseline Informati Baseline Information Form Attach M_Baseline Information Form.docx	Form
JIAC Quarterly Rep H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Qu Attach F_H-1B TST JIAC QPR Form.xlsx	Form
Attach G1_H-1B RTW QPR Form_Edited Version.xlsx Standard QPR Form	IC Document
Attach B1_H-1B RTW Performance Handbook_Edited Version.docx H-1B Performance Reporting Handbook (TrackChange)	IC Document

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Elements			Attach L_H-1B Data Elements for Performance and Evaluation.xlsx	Yes	Yes	Fillable Fileable
Instruction			Attach B_H-1B RTW Performance Handbook_Final.docx	Yes	Yes	Fillable Fileable
Form	ETA Form No. 9166	H-1B Standardized Quarterly Performance Progress Report Form	Attach G_H-1B RTW QPR Form_Final.xlsx	Yes	Yes	Fillable Fileable
Form	Baseline Information Form	Baseline Information Form	Attach M_Baseline Information Form.docx	Yes	Yes	Fillable Fileable
Form	JIAC Quarterly Report Form	H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Quarterly Report Form	Attach F_H-1B TST JIAC QPR Form.xlsx	Yes	Yes	Fillable Fileable

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: 85

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	25,000	-20,300	45,300
Annual IC Time Burden (Hours)	58,250	-32,365	90,615
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Standard QPR Form	Attach G1_H-1B RTW QPR Form_Edited Version.xlsx	05/03/2016
H-1B Performance Reporting Handbook (TrackChange)	Attach B1_H-1B RTW Performance Handbook_Edited Version.docx	05/03/2016

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