Information Collection

Program Performance Report (States) (ETA-9173)

IC 250502 under ICR 202111-1205-002 · OMB 1205-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0551 can be found here:

2024-01-31 - New collection (Request for a new OMB Control Number)

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9173 Program Performance Report (States) (ETA-9173)	Form
Form ETA 9173 Program Performance Report Program Performance Report (States) (ETA-9173)	Form
Apprenticeshipi QPR Temp and Spec.xlsx	Other-Template
Apprenticeshipi QPR Temp and Spec.xlsx	Other-Template
DWG QPR Template and Specifications_022820.XLSX	Other-Template
DWG QPR Template and Specifications_022820.XLSX	Other-Template
Employer Record Layout _updated_FINAL.xlsx	Other-
Employer Record Layout _updated_FINAL.xlsx	Other-
H1B_QPR_Template_and_Specifications.xlsx	Other-Template
H1B_QPR_Template_and_Specifications.xlsx	Other-Template
INA QPR Template and Specifications_022820.XLSX	Other-Template
INA QPR Template and Specifications_022820.XLSX	Other-Template
NFJP QPR Template and Specifications 022820.XLSX	Other-Template
NFJP QPR Template and Specifications 022820.XLSX	Other-Template
REO Adult QPR 8.4.2020.xlsx	Other-Template
REO Adult QPR 8.4.2020.xlsx	Other-Template
REO Youth QPR 8.4.2020.xlsx	Other-Template
REO Youth QPR 8.4.2020.xlsx	Other-Template
SCSEP QPR Template and Specifications.XLSX	Other-Template
SCSEP QPR Template and Specifications.XLSX	Other-Template
YOUTHBUILD QPR Template and Spec.XLSX	Other-Template
YOUTHBUILD QPR Template and Spec.XLSX	Other-Template
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 9173 Program Performance Report ETA_9173_Program_Performance_Report.xlsx	Form
ETA 9173 Program Performance Report ETA_9173_Program_Performance_Report.xlsx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Program Performance Report (States) (ETA-9173)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form	ETA 9173	Program Performance Report	ETA_9173_Program_Performance_Report.xlsx	Yes	Yes	Fillable Fileable
Other-Template			Apprenticeshipi QPR Temp and Spec.xlsx	Yes	Yes	Fillable Fileable
Other-Template			DWG QPR Template and Specifications_022820.XLSX	Yes	Yes	Fillable Fileable
Other-			Employer Record Layout _updated_FINAL.xlsx	Yes	Yes	Fillable Fileable
Other-Template			H1B_QPR_Template_and_Specifications.xlsx	Yes	Yes	Fillable Fileable
Other-Template			INA 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			REO Adult QPR 8.4.2020.xlsx	Yes	Yes	Fillable Fileable
Other-Template			REO Youth QPR 8.4.2020.xlsx	Yes	Yes	Fillable Fileable
Other-Template			SCSEP QPR Template and Specifications.XLSX	Yes	Yes	Fillable Fileable
Other-Template			YOUTHBUILD QPR Template and Spec.XLSX	Yes	Yes	Fillable Fileable
Instruction			WIPS Quick Ref Guide v0.6.pdf	Yes	Yes	Printable Only
Instruction			WIPS_Grantee_Quick_Start_Guide.pdf	Yes	Yes	Printable Only
Instruction			WIPS_Program_User_Quick_Start_Guide.pdf	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

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
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	228	228
Annual IC Time Burden (Hours)	912	912
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.