Follow-up Survey for the Multi-site Evaluation of the Welfare-to-Work Grants Program

ICR 200004-0990-001

OMB: 0990-0238

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0990-0238 200004-0990-001
Historical Active
HHS/HHSDM
Follow-up Survey for the Multi-site Evaluation of the Welfare-to-Work Grants Program
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/02/2000
Retrieve Notice of Action (NOA) 04/04/2000
  Inventory as of this Action Requested Previously Approved
08/31/2003 08/31/2003
12,750 0 0
9,819 0 0
0 0 0

This data collection will enable HHS to obtain detailed information on Welfare-to-Work participants' circumstances and experiences with the program, data that is central to our ability to evaluate the program as mandated by Congress.

None
None


No

1
IC Title Form No. Form Name
Follow-up Survey for the Multi-site Evaluation of the Welfare-to-Work Grants Program

  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 12,750 0 0 12,750 0 0
Annual Time Burden (Hours) 9,819 0 0 9,819 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.
04/04/2000


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