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WIOA State Plan
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
OMB: 1205-0522
IC ID: 215864
OMB.report
DOL/ETA
OMB 1205-0522
ICR 202211-1205-003
IC 215864
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0522 can be found here:
2024-01-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
State Plan ICR_clean_04.23.19.doc
Instruction
State Plan ICR_clean_04.23.19.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
WIOA State Plan
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 682.100
20 CFR 678.310, 405, 750(a)
20 CFR 683.115
20 CFR 681.400(a)(1), 410(b)(2)
34 CFR parts 361, 462, 463
20 CFR 653.107(d) 109(d)
20 CFR 676.140, 145
20 CFR 677.230
20 CFR 676,105, 110, 115, 120, 135
20 CFR 652.211
(To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
State Plan ICR_clean_04.23.19.doc
Yes
Yes
Fillable Fileable
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:
38
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
38
0
0
0
0
38
Annual IC Time Burden (Hours)
8,174
0
38
0
0
8,136
Annual IC Cost Burden (Dollars)
0
0
0
0
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.