Information Collection

MIS Data Entry-Grantees

IC 201975 under ICR 201905-1205-003 · OMB 1205-0507.

Documents and Forms

Document Name Document Type
Form ETA Form No. 9166 MIS Data Entry-Grantees Form
Attach L_H-1B Data Elements for Performance and Evaluation.xlsx Other-Data Elements
Attach B_H-1B RTW Performance Handbook.docx Instruction
ETA Form No. 9166 H-1B Standardized Quarterly Performance Progress Report Attach G_H-1B RTW QPR Form_Final.xlsx Form
Baseline Informati Baseline Information Form Attach M_Baseline Information Form.doc Form
JIAC Quarterly Rep H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Qu Attach F_H-1B TST JIAC QPR Form.xlsx Form
Attach G_H-1B RTW QPR Form_Final.xlsx Standard QPR Form IC Document
Attach B_H-1B RTW Performance Handbook.docx H-1B Performance Reporting Handbook IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MIS Data Entry-Grantees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA Form No. 9166	H-1B Standardized Quarterly Performance Progress Report Form	Attach G_H-1B RTW QPR Form_Final.xlsx	Yes	Yes	Fillable Fileable
Instruction			Attach B_H-1B RTW Performance Handbook.docx	Yes	Yes	Fillable Fileable
Form	Baseline Information Form	Baseline Information Form	Attach M_Baseline Information Form.doc	Yes	Yes	Fillable Fileable
Form	JIAC Quarterly Report Form	H-1B JOBS AND INNOVATION ACCELERATOR CHALLENGE GRANTS Quarterly Report Form	Attach F_H-1B TST JIAC QPR Form.xlsx	Yes	Yes	Fillable Fileable
Other-Data Elements			Attach L_H-1B Data Elements for Performance and Evaluation.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL-ETA -15	FR Citation: 75 FR 6884

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,371	-17,629	25,000
Annual IC Time Burden (Hours)	17,174	-41,076	58,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Standard QPR Form	Attach G_H-1B RTW QPR Form_Final.xlsx	05/13/2019
H-1B Performance Reporting Handbook	Attach B_H-1B RTW Performance Handbook.docx	05/13/2019

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