Customer Survey

ICR 199706-1205-007

OMB: 1205-0190

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
13030 Migrated
ICR Details
1205-0190 199706-1205-007
Historical Active 199307-1205-005
DOL/ETA
Customer Survey
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/06/1997
Retrieve Notice of Action (NOA) 06/25/1997
OMB notes that ETA collected this information without OMB approval for 11 months in violation of the PRA of 1995. ETA shall take steps to prevent such lapses in the future.
  Inventory as of this Action Requested Previously Approved
10/31/2000 10/31/2000
2,220 0 0
3,951 0 0
0 0 0

Survey form designed to determine whether customers of firms whose workers have applied for Trade Adjustment Assistance have increased imports.

None
None


No

1
IC Title Form No. Form Name
Customer Survey 8562

  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 2,220 0 0 2,220 0 0
Annual Time Burden (Hours) 3,951 0 0 3,951 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/25/1997


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