Information Collection

WIOA State Plan

IC 215864 under ICR 202506-1205-006 · OMB 1205-0522.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0522 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Required Elements for State Plans_clean.docx	Instruction
Required Elements for State Plans_clean.docx	Instruction
Required Elements for State Plans_tracked changes.docx Required Elements for State Plans Tracked Changes	IC Document
Required Elements for State Plans_tracked changes.docx Required Elements for State Plans Tracked Changes	IC Document

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: 34 CFR Part 676 34 CFR 463, Subpart H 20 CFR Part 361, Subpart D (To search for a specific CFR, visit the Code of Federal Regulations.)

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	Yes	Fillable Fileable

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	38	38
Annual IC Time Burden (Hours)	8,136	8,136
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Required Elements for State Plans Tracked Changes		06/23/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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