Participant Reporting

Workforce Innovation and Opportunity Act Common Performance Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0526 can be found here:

Documents and Forms

Document Name Document Type
Periods for Reporting - Annual and Quarterly FINAL.xlsx Instruction
Instructions - WIOA Wage Conversion Chart - 4.20.2016 FINAL.xlsx Instruction
ETA-9170 WIOA PIRL ETA 9170 - WIOA PIRL_Final_V22_062716.xlsx Form

Information Collection (IC) Details

IC Title:	Participant Reporting	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 677

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Periods for Reporting - Annual and Quarterly FINAL.xlsx	Yes	No	Printable Only
Instruction			Instructions - WIOA Wage Conversion Chart - 4.20.2016 FINAL.xlsx	Yes	No	Printable Only
Form	ETA-9170	WIOA PIRL	ETA 9170 - WIOA PIRL_Final_V22_062716.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,236,848	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,236,848	16,236,848
Annual IC Time Burden (Hours)	4,059,212	4,059,212
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.