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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
State Recordkeeing
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
New
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
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
Instruction
Effectiveness in Serving Employers Specs - 4.20.2016 FINAL.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
213
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
16,210,211
16,210,211
0
0
0
0
Annual IC Time Burden (Hours)
4,254,436
4,254,436
0
0
0
0
Annual IC Cost Burden (Dollars)
26,147,067
26,147,067
0
0
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.