View Information Collection (IC)

View Information Collection (IC)

IC Title:	WIOA State Plan	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 676,105, 110, 115, 120, 135 20 CFR 681.400(a)(1), 410(b)(2) 20 CFR 676.140, 145 20 CFR 677.230 20 CFR 652.211 20 CFR 682.100 20 CFR 678.310, 405, 750(a) 20 CFR 683.115 34 CFR parst 361, 462, 463 20 CFR 653.107(d) 109(d) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WIOA State Plan Instructions_FINAL 9.28.17.doc		Yes	Yes	Fillable Fileable

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: 38	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	38	0	0	0	0	38
Annual IC Time Burden (Hours)	8,136	0	0	0	0	8,136
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
WIOA State Plan Instructions (track changes)	WIOA State Plan Instructions_mod revisions (track changes) 9.28.17.doc	09/29/2017

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