Eligible Training Providers Performance Reporting Underlying Recordkeeping

Workforce Innovation and Opportunity Act (WIOA) 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⚠️ Notice: This information collection may be referencing outdated material.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
Form ETA-9171 Eligible Training Providers Performance Reporting Underlying Recordkeeping Form
Instructions - WIOA Wage Conversion Chart - 4.20.2016 FINAL.xlsx Instruction
ETA-9171 ETP Definitions ETA-9171_FINAL 12.4.17.xlsx Form
ETA-9171_(changes) 12.4.17.xlsx Amended ETP Definitions_ETA-9171 IC Document

Information Collection (IC) Details

IC Title:	Eligible Training Providers Performance Reporting Underlying Recordkeeping	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9171	ETP Definitions	ETA-9171_FINAL 12.4.17.xlsx		Yes	Yes	Fillable Fileable
Instruction			Instructions - WIOA Wage Conversion Chart - 4.20.2016 FINAL.xlsx		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,400	1,710	9,690
Annual IC Time Burden (Hours)	71,250	13,110	58,140
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Amended ETP Definitions_ETA-9171	ETA-9171_(changes) 12.4.17.xlsx	12/29/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.