Standardized Participant Information Record (Individual Participants)

Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0422 can be found here:

Documents and Forms

Document Name Document Type
INA-SPIR-Specifications- Sept 2016.doc Instruction

Information Collection (IC) Details

IC Title:	Standardized Participant Information Record (Individual Participants)	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			INA-SPIR-Specifications- Sept 2016.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA-15	FR Citation: 67 FR 16898

Number of Respondents: 11,679	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,679	-1,970	13,649
Annual IC Time Burden (Hours)	1,168	-197	1,365
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.