Joint WIOA Participant Individual Record Layout (PIRL) IC (ETA 9170)

Workforce Innovation and Opportunity Act (WIOA) Common Performance Reporting

OMB: 1205-0526

IC ID: 221368

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Joint WIOA Participant Individual Record Layout (PIRL) IC (ETA 9170)
 
Yes Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 677

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Instructions - WIOA Wage Conversion Chart - 123020.xlsx Yes No Printable Only
Form ETA-9170 WIOA PIRL ETA_9170 10.15.20.xlsx Yes Yes Fillable Fileable
Instruction Effectiveness in Serving Employers Specs - 123020.docx Yes No Printable Only

Workforce Management Training and Employment

 

249 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 19,102,174 0 0 0 0 19,102,174
Annual IC Time Burden (Hours) 5,013,443 0 0 0 0 5,013,443
Annual IC Cost Burden (Dollars) 34,594,532 0 0 0 0 34,594,532

Title Document Date Uploaded
Amended WIOA PIRL_ETA-9170 ETA-9170_(changes) 12.4.17.xlsx 12/29/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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