Information Collection

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

IC 221308 under ICR 202411-1205-001 · OMB 1205-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9170 WIOA PIRL Joint WIOA Participant Individual Record Layout (PIRL) IC (ETA 9170)	Form
Instructions - WIOA Wage Conversion Chart - 123020.xlsx	Instruction
Instructions - WIOA Wage Conversion Chart - 123020.xlsx	Instruction
ETA 9170 WIOA PIRL ETA_9170 CLEAN 12.10.24.xlsx	Form
ETA 9170 WIOA PIRL ETA_9170 CLEAN 2.6.2025.xlsx	Form
ETA-9170_(changes) 12.4.17.xlsx Amended WIOA PIRL_ETA-9170	IC Document
ETA-9170_(changes) 12.4.17.xlsx Amended WIOA PIRL_ETA-9170	IC Document

IC Title:

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

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 677

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	No	Printable Only
Form	ETA 9170				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,102,174

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	19,102,174	19,102,174
Annual IC Time Burden (Hours)	4,775,544	4,775,544
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Amended WIOA PIRL_ETA-9170		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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