Pay-for-Performance Report (ETA-9174)

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form ETA 9174 Pay-for-Performance Report (ETA-9174) Form
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 9174 Pay-for-Performance Report ETA-9174 FINAL 022820.xlsx Form
ETA 9174 Pay-for-Performance Report ETA-9174 FINAL 022820.xlsx Form

Information Collection (IC) Details

IC Title:	Pay-for-Performance Report (ETA-9174)	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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9174	Pay-for-Performance Report	ETA-9174 FINAL 022820.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

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: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	1,425	1,425
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.