Program Performance Report

ETA Workforce Innovation and Opportunity Act Performance Accountability, Information, and Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0521 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9173 Program Performance Report Form and Instruction
ETA-9173 Program Performance Report Template and Specifications ETA-9173 - Program Performance Report Template and Specifications_V8_062416.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	Program Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 677

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9173	Program Performance Report Template and Specifications	ETA-9173 - Program Performance Report Template and Specifications_V8_062416.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 872	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	3,488	3,488
Annual IC Time Burden (Hours)	13,952	13,952
Annual IC Cost Burden (Dollars)	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.