H-1B Grantees, State, Local or Tribal Governments

Workforce Innovation and Opportunity Act Joint Quarterly Narrative Performance Report

Documents and Forms

Document Name Document Type
Form ETA-9179 H-1B Grantees, State, Local or Tribal Governments Form and Instruction
ETA-9179 Joint Quarterly Narrative Performance Report Template WIOA QNPR Template_ETA-9179 5-20-21 clean.docx Form and Instruction
ETA-9179 Joint Quarterly Narrative Performance Report Template WIOA QNPR Template_ETA-9179 5-20-21 clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	H-1B Grantees, State, Local or Tribal Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 95.51

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA-9179	Joint Quarterly Narrative Performance Report Template	WIOA QNPR Template_ETA-9179 5-20-21 clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: DOL/ETA-15	FR Citation: 67 FR 16898

Number of Respondents: 91	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	364	68	296
Annual IC Time Burden (Hours)	3,640	680	2,960
Annual IC Cost Burden (Dollars)	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.