Program Performance Report (States)

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⚠️ Notice: This information collection may be referencing outdated material.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 (States) Form and Instruction
WIPS Grantee Quick Start Guide v0.2.pdf Instruction
WIPS Quick Ref Guide v0.6.pdf Instruction
DWG QPR Template and Specifications_FINAL.XLSX Other-Template
H1B QPR Template and Specifications_FINAL.XLSX Other-Template
NFJP QPR Template and Specifications FINAL.XLSX Other-Template
YOUTHBUILD QPR Template and Specifications_FINAL.XLSX Other-Template
INA QPR Template and Specifications_FINAL 6.17.19.XLSX Other-Template
SCSEP QPR Template and Specifications_FINAL.XLSX Other-Template
ETA-9173 Program Performance Report Template and Specifications ETA-9173_Program_Performance_Report_Templates_and_Specification 6.10.19.xlsx Form and Instruction
(REDLINE)ETA-9173_Program_Performance_Report_Templates_and_Specification 6.10.19.xlsx REDLINE Changes ETA-9173 IC Document

Information Collection (IC) Details

IC Title:	Program Performance Report (States)	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 641

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_Program_Performance_Report_Templates_and_Specification 6.10.19.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
Other-Template			DWG QPR Template and Specifications_FINAL.XLSX	Yes	Yes	Fillable Fileable
Other-Template			H1B QPR Template and Specifications_FINAL.XLSX	Yes	Yes	Fillable Fileable
Other-Template			NFJP QPR Template and Specifications FINAL.XLSX	Yes	Yes	Fillable Fileable
Other-Template			YOUTHBUILD QPR Template and Specifications_FINAL.XLSX	Yes	Yes	Fillable Fileable
Other-Template			INA QPR Template and Specifications_FINAL 6.17.19.XLSX	Yes	Yes	Fillable Fileable
Other-Template			SCSEP QPR Template and Specifications_FINAL.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: 57	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	912	912
Annual IC Time Burden (Hours)	3,648	3,648
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
REDLINE Changes ETA-9173	(REDLINE)ETA-9173_Program_Performance_Report_Templates_and_Specification 6.10.19.xlsx	07/26/2019

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