Information Collection Request

DOL-Only Performance Accountability, Information, and Reporting System

ICR 202509-1205-011 · OMB 1205-0521 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Form ETA 9173 Program Performance Report Form and Instruction Modified Available
Form ETA 9174 Pay-for-Performance Report Form and Instruction Unchanged Available
Form ETA 9173 Program Performance Report Form Modified Available
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Justification for non material change.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-30 Available
Justification for non material change.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-30 Repair queued
Comment Responses- DOL Only ICR - 60-Day Comment Period 10.31.2024.docx Supplementary Document Uploaded 2024-11-05 Repair queued
Comment Responses- DOL Only ICR - 60-Day Comment Period 10.31.2024.docx Supplementary Document Uploaded 2024-11-05 Repair queued
Supporting Statement 1205-0521_12.10.24_clean.docx Supporting Statement A Uploaded 2024-12-10 Available
Supporting Statement 1205-0521_12.10.24_clean.docx Supporting Statement A Uploaded 2024-12-10 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
230906 WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172) Form and Instruction ModifiedParticipant Individual Record Layout
230906 WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172) Instruction Modified
230905 WIOA Participant Individual Record Layout (PIRL) (Private Sector) IC (ETA-9172) Form and Instruction ModifiedParticipant Individual Record Layout
230905 WIOA Participant Individual Record Layout (PIRL) (Private Sector) IC (ETA-9172) Instruction Modified
230900 Program Performance Report (Private Sector) IC (ETA- 9173) Form and Instruction ModifiedProgram Performance Report
230900 Program Performance Report (Private Sector) IC (ETA- 9173) Instruction Modified
228806 States/Territories Reporting to the Federal Government IC Unchanged
221265 Pay-for-Performance Report IC (ETA-9174) Form and Instruction UnchangedPay-for-Performance Report
221265 Pay-for-Performance Report IC (ETA-9174) Instruction Unchanged
221251 OPDR Program Performance Report (States) IC (ETA-9173) Form ModifiedProgram Performance Report
221251 OPDR Program Performance Report (States) IC (ETA-9173) Instruction Modified
215760 WIOA Participant Individual Record Layout (PIRL) - ETA 9172 Form and Instruction ModifiedParticipant Individual Record Layout
215760 WIOA Participant Individual Record Layout (PIRL) - ETA 9172 Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2028 04/30/2028 04/30/2028
46,167,618 0 46,167,618
11,735,522 0 11,735,522
9,491,287 0 9,491,287





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
OPDR Program Performance Report (States) IC (ETA-9173) ETA 9173
Pay-for-Performance Report IC (ETA-9174) ETA 9174
Program Performance Report (Private Sector) IC (ETA- 9173) ETA 9173
States/Territories Reporting to the Federal Government IC
WIOA Participant Individual Record Layout (PIRL) (Private Sector) IC (ETA-9172) ETA 9172
WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172) ETA 9172
WIOA Participant Individual Record Layout (PIRL) - ETA 9172 ETA 9172

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 46,167,618 46,167,618 0 0 0 0
Annual Time Burden (Hours) 11,735,522 11,735,522 0 0 0 0
Annual Cost Burden (Dollars) 9,491,287 9,491,287 0 0 0 0


Reginfo record details
  No