Quarterly Performance Report

YouthBuild Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0464 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9136 Quarterly Performance Report Form and Instruction
ETA 9136 MIS System, Quarterly Reports ETA-9136 YB MIS form with 8-31-18 expiration date.xls Form and Instruction

Information Collection (IC) Details

IC Title:	Quarterly 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: 29 CFR 37.37 2 CFR 200.328(b)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9136	MIS System, Quarterly Reports	ETA-9136 YB MIS form with 8-31-18 expiration date.xls		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 210	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	840	-1,160	2,000
Annual IC Time Burden (Hours)	13,440	-12,360	25,800
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.