Information Collection

WIOA Participant Individual Record Layout (PIRL)

IC 215760 under ICR 202104-1205-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 9172 Participant Individual Record Layout WIOA Participant Individual Record Layout (PIRL)	Form and Instruction
WIPS Quick Ref Guide v0.6.pdf	Instruction
WIPS Quick Ref Guide v0.6.pdf	Instruction
WIPS_Grantee_Quick_Start_Guide.pdf	Instruction
WIPS_Grantee_Quick_Start_Guide.pdf	Instruction
WIPS_Program_User_Quick_Start_Guide.pdf	Instruction
WIPS_Program_User_Quick_Start_Guide.pdf	Instruction
ETA 9172 Participant Individual Record Layout ETA 9172 DOL only PIRL CLEAN 3.1.2021.xlsx	Form and Instruction
ETA 9172 Participant Individual Record Layout ETA 9172 DOL only PIRL CLEAN 3.1.2021.xlsx	Form and Instruction
ETA 9172 DOL only PIRL 3.1.2021 TC.xlsx Form 9172 Tracked Changes	IC Document
ETA 9172 DOL only PIRL 3.1.2021 TC.xlsx Form 9172 Tracked Changes	IC Document

IC Title:

WIOA Participant Individual Record Layout (PIRL)

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9172	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Printable Only
Instruction		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,580,618

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	17,580,618	0	17,580,618
Annual IC Time Burden (Hours)	4,395,155	0	4,395,155
Annual IC Cost Burden (Dollars)	9,491,287	-22,373,583	31,864,870

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 9172 Tracked Changes		04/21/2021

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

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