OMB control number
H-1B Technical Skills Training and Jobs and Innovation Accelerator Challenge Grants
OMB 1205-0507 · DOL/ETA.
OMB 1205-0507
In applying for the H-1B TST, JAIC, and RTW grant programs, grantees agreed to submit participant-level data quarterly for individuals who receive services through these programs. The reports include aggregate data on demographic characteristics, types of services received, placements, outcomes, and follow-up status. Specifically, grantees summarize data on employment and training services, placement services, and other services essential to successful unsubsidized employment through H-1B programs. This reporting structure features standardized data collection on program participants and quarterly narrative, performance, and Management Information System report formats. All data collection and reporting will be done by grantee organizations (state or local government, not-for-profit, or faith-based and community organizations) or their sub-grantees.
The latest form for H-1B Technical Skills Training and Jobs and Innovation Accelerator Challenge Grants expires 2022-09-30 and is listed under ICR 201905-1205-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form ETA Form No. 9166 MIS Data Entry-Grantees | Form |
 Attach N_Federal Register Notice 2018-28242.pdf | Supplementary Document |
 1205-0507 Supporting Statement_CLEAN 5-10-19.docx (document unavailable) | Supporting Statement A |
 Site Visit Data Collection |
Other-site selection interview guide |
| MIS data entry, participants |
Instruction |
| Quarterly Performance and Narrative Reporting |
Other-Narrative Template |
| MIS Data Entry-Grantees |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201905-1205-003 | Extension without change of a currently approved collection | 2019-06-26 | Approved without change | |
| 201604-1205-006 | Revision of a currently approved collection | 2016-05-27 | Approved without change | |
| 201409-1205-001 | No material or nonsubstantive change to a currently approved collection | 2015-01-14 | Approved without change | |
| 201306-1205-003 | No material or nonsubstantive change to a currently approved collection | 2013-07-10 | Approved without change | |
| 201201-1205-004 | New collection (Request for a new OMB Control Number) | 2012-09-04 | Approved with change |
OMB Details
MIS Data Entry-Grantees
Federal Enterprise Architecture: Workforce Management - Training and Employment
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form Baseline Information Form | Baseline Information Form | Fillable Fileable | Form |
| Form ETA Form No. 9166 | H-1B Standardized Quarterly Performance Progress Report Form | Fillable Fileable | Form |
| Form JIAC Quarterly Report Form | H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Quarterly Report Form | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.