SCSEP 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 SCSEP Grantees, State, Local or Tribal Governments Form and Instruction
ETA-9179 Joint Quarterly Narrative Performance Report Template 1205-0448_WIOA Joint QNR_ETA9179_rev 6.11.25 clean.docx Form and Instruction
1205-0448_WIOA Joint QNR_ETA9179_rev 6.11.25 track changes.docx ETA-9179 Tracked Changes IC Document

Information Collection (IC) Details

IC Title:	SCSEP 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	1205-0448_WIOA Joint QNR_ETA9179_rev 6.11.25 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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	2,240	2,240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ETA-9179 Tracked Changes	1205-0448_WIOA Joint QNR_ETA9179_rev 6.11.25 track changes.docx	06/17/2025

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