Program Performance Report

DOL-Only 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⚠️ Notice: This information collection may be referencing outdated material.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
WIPS Grantee Quick Start Guide v0.2.pdf Instruction
WIPS Quick Ref Guide v0.6.pdf Instruction
ETA-9173 Program Performance Report Template and Specifications ETA-9173_FINAL 12.7.17.xlsx Form and Instruction
ETA-9173_(changes) 12.7.17.xlsx Program Performance Report Template and Specifications IC Document

Information Collection (IC) Details

IC Title:	Program Performance Report	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 677

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9173	Program Performance Report Template and Specifications	ETA-9173_FINAL 12.7.17.xlsx	Yes	Yes	Fillable Fileable
Instruction			WIPS Grantee Quick Start Guide v0.2.pdf	Yes	Yes	Fillable Fileable
Instruction			WIPS Quick Ref Guide v0.6.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,004	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,016	528	3,488
Annual IC Time Burden (Hours)	16,064	2,112	13,952
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Program Performance Report Template and Specifications	ETA-9173_(changes) 12.7.17.xlsx	01/09/2018

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