Information Collection

Pay-for-Performance Report

IC 221265 under ICR 202112-1205-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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 and Instruction
ETA 9174 Pay-for-Performance Report ETA-9174_FINAL 022820.xlsx	Form and Instruction

IC Title:

Pay-for-Performance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Instruction			WIPS Quick Ref Guide v0.6.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9174	Pay-for-Performance Report	ETA-9174_FINAL 022820.xlsx	Yes	Yes	Fillable Fileable
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: 100 %

table that charts list of burden
	Approved	Previously Approved
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.