Information Collection

MIS Data Entry-Grantees

IC 201975 under ICR 201905-1205-003 · OMB 1205-0507.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA Form No. 9166 H-1B Standardized Quarterly Performance Progress Report Form MIS Data Entry-Grantees	Form
Form Baseline Informati Baseline Information Form MIS Data Entry-Grantees	Form
Form JIAC Quarterly Rep H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Quarterly Report Form MIS Data Entry-Grantees	Form
Attach L_H-1B Data Elements for Performance and Evaluation.xlsx	Other-Data Elements
Attach B_H-1B RTW Performance Handbook.docx	Instruction
ETA Form No. 9166 H-1B Standardized Quarterly Performance Progress Report Attach G_H-1B RTW QPR Form_Final.xlsx	Form
Baseline Informati Baseline Information Form Attach M_Baseline Information Form.doc	Form
JIAC Quarterly Rep H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Qu Attach F_H-1B TST JIAC QPR Form.xlsx	Form
Attach G_H-1B RTW QPR Form_Final.xlsx Standard QPR Form	IC Document
Attach B_H-1B RTW Performance Handbook.docx H-1B Performance Reporting Handbook	IC Document

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data Elements		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Form	ETA Form No. 9166	Yes	Yes	Fillable Fileable
Form	Baseline Information Form	Yes	Yes	Fillable Fileable
Form	JIAC Quarterly Report Form	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL-ETA -15

FR Citation: 75 FR 6884

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,371	-17,629	25,000
Annual IC Time Burden (Hours)	17,174	-41,076	58,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Standard QPR Form		05/13/2019
H-1B Performance Reporting Handbook		05/13/2019

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

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