Information Collection

WIOA State Plan

IC 215864 under ICR 201906-1205-005 · OMB 1205-0522.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0522 can be found here:

Documents and Forms

Document Name Document Type
WIOA State Plan ICR_final_mod revisions 6.21.19 CLEAN.doc Instruction
WIOA State Plan ICR_final_mod revisions 6.21.19 with Track Changes.doc WIOA State Plan ICR_final_mod revisions 6.21.19 with Track Changes IC Document

Information Collection (IC) Details

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 653.107 109 20 CFR 653.108(g)(6), (i), (m), (s) 20 CFR 681.400(a)(1), 410(b)(2) 20 CFR 676.140, 145 20 CFR 676,105, 110, 115, 120, 135 20 CFR 677.230 20 CFR 652.211 20 CFR 658.601 20 CFR 682.100 20 CFR 678.310, 405, 750(a) 20 CFR 683.115 34 CFR parst 361, 462, 463 (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 ICR_final_mod revisions 6.21.19 CLEAN.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11	-27	38
Annual IC Time Burden (Hours)	2,354	-5,782	8,136
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
WIOA State Plan ICR_final_mod revisions 6.21.19 with Track Changes	WIOA State Plan ICR_final_mod revisions 6.21.19 with Track Changes.doc	06/21/2019

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