Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act

OMB 1205-0422

OMB Control No. 1205-0422 contains two forms: ETA 9084, Comprehensive Services Program, and ETA 9085, Supplemental Youth Services Program. It also includes standard data elements for participants, the basis of the current performance standards system for WIOA section 166 grantees. ETA 9084 is completed by both tribal and non-profit private sector grantees. ETA 9085 is completed only by tribal grantees.

The latest form for Program Reporting and Performance Standards System for Indian and Native American Programs Under Title I, Section 166 of the Workforce Innovation and Opportunity Act expires 2023-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA-9085 Supplemental Youth Services Program Report (ETA 9085) Form
Form ETA-9084 Comprehensive Services Program report (Form ETA-9084) Form
1205-0422 Supporting Statement 012120.docx Supporting Statement A
Supplemental Youth Services Program Report (ETA 9085) Form
Standardized Participant Information Record (Tribal Government Grantees) Instruction
Standardized Participant Information Record (Not-for-Profit Grantees) Instruction
Comprehensive Services Program report (Form ETA-9084) Form
Standardized Participant Information Record (Individual Participants) Instruction
Comprehensive Services Program Report and Supplemental Youth Services Report (Forms ETA-9084 and ETA-9085) (Tribal Government Grantees) Instruction

All Historical Document Collections

201912-1205-009 Approved without change	Revision of a currently approved collection	2020-01-31
201608-1205-003 Approved without change	Revision of a currently approved collection	2016-09-30
201511-1205-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-02-09
201212-1205-006 Approved with change	Revision of a currently approved collection	2013-05-31
201001-1205-001 Approved without change	Extension without change of a currently approved collection	2010-04-20
200906-1205-001 Approved without change	Revision of a currently approved collection	2009-08-14
200609-1205-003 Approved with change	Revision of a currently approved collection	2006-10-11
200409-1205-004 Approved without change	Revision of a currently approved collection	2004-09-22
200307-1205-005 Approved without change	Extension without change of a currently approved collection	2003-07-30
200012-1205-008 Approved without change	New collection (Request for a new OMB Control Number)	2000-12-22

OMB Details

Comprehensive Services Program Report and Supplemental Youth Services Report (Forms ETA-9084 and ETA-9085) (Tribal Government Grantees)

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form ETA 9084	General Reporting Instructions for the Comprehensive Services Program Report and Standardized Participant Information Record Data	Fillable Fileable	Form and instruction
Form ETA 9085	General Reporting Instructions for the Supplemental Youth Services Program Report	Fillable Fileable	Form and instruction
Form 9085	Summer Youth Report Form	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.