Information Collection

Program Performance Report (States)

IC 221251 under ICR 201911-1205-008 · OMB 1205-0521.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0521 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9173 Program performance Report Template and Specifications Program Performance Report (States)	Form and Instruction
Employer Record Layout _updated_FINAL.xlsx	Other-null
WIPS Grantee Quick Start Guide v0.2.pdf	Instruction
WIPS Quick Ref Guide v0.6.pdf	Instruction
ETA_9173_QPR_Apprenticeship_FINAL 3.27.19.xlsx	Other-Template
DWG QPR Template and Specifications_022820.XLSX	Other-Template
H1B QPR Template and Specifications_022820.XLSX	Other-Template
NFJP QPR Template and Specifications 022820.XLSX	Other-Template
YOUTHBUILD QPR Template and Specifications_022820.XLSX	Other-Template
INA QPR Template and Specifications_022820.XLSX	Other-Template
SCSEP QPR Template and Specifications_FINAL (3).XLSX	Other-Template
ETA-9173 Program performance Report Template and Specifications ETA-9173_Program_Performance_Report_Templates_and_Specification 022820.xlsx	Form and Instruction

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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-null			Employer Record Layout _updated_FINAL.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			ETA_9173_QPR_Apprenticeship_FINAL 3.27.19.xlsx	Yes	Yes	Fillable Fileable
Other-Template			DWG QPR Template and Specifications_022820.XLSX	Yes	Yes	Fillable Fileable
Other-Template			H1B QPR Template and Specifications_022820.XLSX	Yes	Yes	Fillable Fileable
Other-Template			NFJP QPR Template and Specifications 022820.XLSX	Yes	Yes	Fillable Fileable
Other-Template			YOUTHBUILD QPR Template and Specifications_022820.XLSX	Yes	Yes	Fillable Fileable
Other-Template			INA QPR Template and Specifications_022820.XLSX	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9173	Program performance Report Template and Specifications	ETA-9173_Program_Performance_Report_Templates_and_Specification 022820.xlsx	Yes	Yes	Fillable Fileable
Other-Template			SCSEP QPR Template and Specifications_FINAL (3).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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	228	-684	912
Annual IC Time Burden (Hours)	912	-2,736	3,648
Annual IC Cost Burden (Dollars)	32,121	32,121	0

Documents for IC

table that charts IC Documents
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.