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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 202506-1205-006
IC 215864
( )
Documents and Forms
Document Name
Document Type
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
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:
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Required Elements for State Plans_clean.docx
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 %
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
38
0
0
0
0
38
Annual IC Time Burden (Hours)
8,136
0
0
0
0
8,136
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Required Elements for State Plans Tracked Changes
Required Elements for State Plans_tracked changes.docx
06/23/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.