DOL-Only Performance Accountability, Information, and Reporting System for Reportable Individuals

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9172 Participant Individual Record Layout	Form	New	Available
Form ETA 9172 WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172)	Form	New	Repair queued
Form ETA 9172 Participant Individual Record Layout	Form	New	Available
Form ETA 9172 WIOA Participant Individual Record Layout (PIRL) (Private Sector) (ETA-9172)	Form	New	Missing upstream
Form ETA 9173 Program Performance Report	Form	New	Available
Form ETA 9173 Program Performance Report (Private Sector) (ETA- 9173)	Form	New	Repair queued
Form ETA 9174 Pay-for-Performance Report	Form	New	Available
Form ETA 9174 Pay-for-Performance Report (ETA-9174)	Form	New	Repair queued
Form ETA 9173 Program Performance Report	Form	New	Available
Form ETA 9173 Program Performance Report (States) (ETA-9173)	Form	New	Repair queued
Form ETA 9172 Participant Individual Record Layout	Form	New	Available
Form ETA 9172 WIOA Participant Individual Record Layout (PIRL) (ETA-9172)	Form	New	Missing upstream
Job Corps QPR Template and Specifications_FINAL.XLSX	Supplementary Document	Uploaded 2021-12-01	Missing upstream
H1B_QPR_Template_and_Specifications.xlsx	Supplementary Document	Uploaded 2021-12-01	Repair queued
ETA 9172 DOL only PIRL 2021 Track Change for WP NPRM.xlsx	Supplementary Document	Uploaded 2021-12-01	Repair queued
Apprenticeship QPR Template and Specifications.xlsx	Supplementary Document	Uploaded 2021-12-01	Repair queued
29 U.S. Code § 3249 - Secretarial administrative authorities and responsibilities.pdf	Supplementary Document	Uploaded 2021-12-01	Repair queued
29 U.S. Code § 3224 - Evaluations and research.pdf	Supplementary Document	Uploaded 2021-12-01	Repair queued
29 U.S. Code § 3141 - Performance accountability system.pdf	Supplementary Document	Uploaded 2021-12-01	Repair queued
20 CFR Part 641 - PROVISIONS GOVERNING SCSEP.pdf	Supplementary Document	Uploaded 2021-12-01	Missing upstream
Supporting Statement 1205-0NEW 020222.docx	Supporting Statement A	Uploaded 2022-02-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250507	WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172)	Form	New	Participant Individual Record Layout
250507	WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172)	Form	New
250507	WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172)	Instruction	New
250506	WIOA Participant Individual Record Layout (PIRL) (Private Sector) (ETA-9172)	Form	New	Participant Individual Record Layout
250506	WIOA Participant Individual Record Layout (PIRL) (Private Sector) (ETA-9172)	Form	New
250506	WIOA Participant Individual Record Layout (PIRL) (Private Sector) (ETA-9172)	Instruction	New
250505	Program Performance Report (Private Sector) (ETA- 9173)	Form	New	Program Performance Report
250505	Program Performance Report (Private Sector) (ETA- 9173)	Form	New
250505	Program Performance Report (Private Sector) (ETA- 9173)	Other-Template	New
250504	States/Territories Reporting to the Federal Government		New
250503	Pay-for-Performance Report (ETA-9174)	Form	New	Pay-for-Performance Report
250503	Pay-for-Performance Report (ETA-9174)	Form	New
250503	Pay-for-Performance Report (ETA-9174)	Instruction	New
250502	Program Performance Report (States) (ETA-9173)	Form	New	Program Performance Report
250502	Program Performance Report (States) (ETA-9173)	Form	New
250502	Program Performance Report (States) (ETA-9173)	Other-Template	New
250501	WIOA Participant Individual Record Layout (PIRL) (ETA-9172)	Form	New	Participant Individual Record Layout
250501	WIOA Participant Individual Record Layout (PIRL) (ETA-9172)	Form	New
250501	WIOA Participant Individual Record Layout (PIRL) (ETA-9172)	Instruction	New

ICR Details

OMB Control No: 1205-0551	ICR Reference No: 202111-1205-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: DOL-Only Performance Accountability, Information, and Reporting System for Reportable Individuals
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 07/06/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/20/2022
Terms of Clearance: Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request (ICR) is being submitted in association with the Wagner-Peyser Act Staffing, Notice of Proposed Rulemaking (NPRM) (RIN 1205-AC02). The proposed regulations would require States to use State merit staff to provide Wagner-Peyser Act Employment Service (ES) services.

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Authorizing Statute(s): US Code: 29 USC 3224 Name of Law: Workforce Innovation and Opportunity Act
   US Code: 29 USC 3249 Name of Law: Workforce Innovation and Opportunity Act
   US Code: 29 USC 3141(d) Name of Law: Workforce Innovation and Opportunity Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1205-AC02	Proposed rulemaking	87 FR 23700	04/20/2022

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Pay-for-Performance Report (ETA-9174)	ETA 9174	Pay-for-Performance Report
Program Performance Report (Private Sector) (ETA- 9173)	ETA 9173	Program Performance Report
Program Performance Report (States) (ETA-9173)	ETA 9173	Program Performance Report
States/Territories Reporting to the Federal Government
WIOA Participant Individual Record Layout (PIRL) (ETA-9172)	ETA 9172	Participant Individual Record Layout
WIOA Participant Individual Record Layout (PIRL) (Private Sector) (ETA-9172)	ETA 9172	Participant Individual Record Layout
WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172)	ETA 9172	Participant Individual Record Layout

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Once all of the outstanding actions are complete, the Department intends to submit a non-material change request to merge the collections so that the new requirements will be part of OMB control number 1205–0521. Subsequently, the new OMB control number will be discontinued.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/20/2022

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