Information Collection

Pay-for-Performance Report (ETA-9174)

IC 250503 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⚠️ Notice: This information collection may be referencing outdated material.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:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9174 Pay-for-Performance Report (ETA-9174)	Form
Form ETA 9174 Pay-for-Performance Report 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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.