OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

DOL-Only Performance Accountability, Information, and Reporting System

ICR 202509-1205-011 · OMB 1205-0521 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Form ETA 9173 Program Performance Report Form and Instruction Modified Available
Form ETA 9174 Pay-for-Performance Report Form and Instruction Unchanged Available
Form ETA 9173 Program Performance Report Form Modified Available
Form ETA 9172 Participant Individual Record Layout Form and Instruction Modified Available
Justification for non material change.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-30 Available
Justification for non material change.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-09-30 Repair queued
Comment Responses- DOL Only ICR - 60-Day Comment Period 10.31.2024.docx Supplementary Document Uploaded 2024-11-05 Repair queued
Comment Responses- DOL Only ICR - 60-Day Comment Period 10.31.2024.docx Supplementary Document Uploaded 2024-11-05 Repair queued
Supporting Statement 1205-0521_12.10.24_clean.docx Supporting Statement A Uploaded 2024-12-10 Available
Supporting Statement 1205-0521_12.10.24_clean.docx Supporting Statement A Uploaded 2024-12-10 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
230906 WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172) Form and Instruction ModifiedParticipant Individual Record Layout
230906 WIOA Participant Individual Record Layout (PIRL) (States) (ETA- 9172) Instruction Modified
230905 WIOA Participant Individual Record Layout (PIRL) (Private Sector) IC (ETA-9172) Form and Instruction ModifiedParticipant Individual Record Layout
230905 WIOA Participant Individual Record Layout (PIRL) (Private Sector) IC (ETA-9172) Instruction Modified
230900 Program Performance Report (Private Sector) IC (ETA- 9173) Form and Instruction ModifiedProgram Performance Report
230900 Program Performance Report (Private Sector) IC (ETA- 9173) Instruction Modified
228806 States/Territories Reporting to the Federal Government IC Unchanged
221265 Pay-for-Performance Report IC (ETA-9174) Form and Instruction UnchangedPay-for-Performance Report
221265 Pay-for-Performance Report IC (ETA-9174) Instruction Unchanged
221251 OPDR Program Performance Report (States) IC (ETA-9173) Form ModifiedProgram Performance Report
221251 OPDR Program Performance Report (States) IC (ETA-9173) Instruction Modified
215760 WIOA Participant Individual Record Layout (PIRL) - ETA 9172 Form and Instruction ModifiedParticipant Individual Record Layout
215760 WIOA Participant Individual Record Layout (PIRL) - ETA 9172 Instruction Modified
ICR Details
1205-0521 202509-1205-011
Historical Active 202411-1205-002
DOL/ETA
DOL-Only Performance Accountability, Information, and Reporting System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/11/2025
Retrieve Notice of Action (NOA) 12/02/2025
  Inventory as of this Action Requested Previously Approved
04/30/2028 04/30/2028 04/30/2028
46,167,618 0 46,167,618
11,735,522 0 11,735,522
9,491,287 0 9,491,287
This request fulfills Workforce Innovation and Opportunity Act reporting requirements regarding the collection of performance indicators described in Sec. 116(b)(2)(A). Requirements for state level collection of this data for the programs contained in this collection are based on WIOA requirements. As part of this ICR, the Department of Labor’s (DOL) Employment and Training Administration (ETA) has made changes to the Participant Individual Record Layout (ETA-9172), (Program) Performance Report (ETA-9173-APPSHP) to facilitate State and grantee performance reporting. In particular, as part of DOL’s effort to streamline program performance reporting for ETA grants with significant apprenticeship components as a primary goal of the program (Apprenticeship grants), DOL is adding the performance information collection requirements for Apprenticeship grants. DOL also is adding a new information collection requirement to this ICR: the Apprenticeship Outreach: Organization/Employer Record Layout.
US Code: 29 USC 3224 Name of Law: Workforce Innovation and Opportunity Act
   US Code: 29 USC 3249 Name of Law: Workforce Innovation and Opportunity Act
   US Code: 29 USC 3141(d) Name of Law: Workforce Innovation and Opportunity Act
  
None
Not associated with rulemaking
  89 FR 52511 06/24/2024
90 FR 682 01/06/2025
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 46,167,618 46,167,618 0 0 0 0
Annual Time Burden (Hours) 11,735,522 11,735,522 0 0 0 0
Annual Cost Burden (Dollars) 9,491,287 9,491,287 0 0 0 0
No
No
$387,925
No
    Yes
    No
No
No
No
No
Patrice Gibson 202 693-0158 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/02/2025