WIOA State Plan

Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0522 can be found here:

Documents and Forms

Document Name Document Type
State Plan ICR_clean_04.23.19.doc Instruction
State Plan ICR_track changes_04.23.19.doc WIOA State Plan ICR Tracked Changes IC Document

Information Collection (IC) Details

IC Title:	WIOA State Plan	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 652.211 20 CFR 682.100 20 CFR 678.310, 405, 750(a) 20 CFR 683.115 20 CFR 677.230 20 CFR 681.400(a)(1), 410(b)(2) 20 CFR 676.140, 145 20 CFR 676,105, 110, 115, 120, 135 34 CFR parts 361, 462, 463 20 CFR 653.107(d) 109(d) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			State Plan ICR_clean_04.23.19.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	38	38
Annual IC Time Burden (Hours)	8,136	8,136
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
WIOA State Plan ICR Tracked Changes	State Plan ICR_track changes_04.23.19.doc	04/29/2019

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