Information Collection

YB Grantees, State, Local or Tribal Governments

IC 227695 under ICR 202103-1205-001 · OMB 1205-0448.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0448 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9179 YB Grantees, State, Local or Tribal Governments	Form and Instruction
ETA-9179 Joint Quarterly Narrative Performance Report Template WIOA QNPR Template_ETA-9179 9-3-20.docx	Form and Instruction
ETA-9179 Joint Quarterly Narrative Performance Report Template WIOA QNPR Template_ETA-9179 5-20-21 clean.docx	Form and Instruction

IC Title:

YB Grantees, State, Local or Tribal Governments

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 95.51

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9179	Joint Quarterly Narrative Performance Report Template	WIOA QNPR Template_ETA-9179 5-20-21 clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-15

FR Citation: 67 FR 16898

Number of Respondents: 105

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	Previously Approved
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	4,200	4,200
Annual IC Cost Burden (Dollars)	0	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.