Information Collection

Pay-for-Performance Report IC (ETA-9174)

IC 221265 under ICR 202512-1205-003 · OMB 1205-0521.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9174 Pay-for-Performance Report Pay-for-Performance Report IC (ETA-9174)	Form and Instruction
WIPS Quick Ref Guide v0.6.pdf	Instruction
WIPS Quick Ref Guide v0.6.pdf	Instruction
WIPS_Grantee_Quick_Start_Guide.pdf	Instruction
WIPS_Grantee_Quick_Start_Guide.pdf	Instruction
WIPS_Program_User_Quick_Start_Guide.pdf	Instruction
WIPS_Program_User_Quick_Start_Guide.pdf	Instruction
ETA 9174 Pay-for-Performance Report ETA_9174_Pay_for_Performance.xlsx	Form and Instruction
ETA 9174 Pay-for-Performance Report ETA_9174_Pay_for_Performance.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		Yes	Yes	Fillable Fileable
Form and Instruction	ETA 9174	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Printable Only
Instruction		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

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
	Approved	Previously Approved
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	1,425	1,425
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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