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ICR 200610-1290-001 · OMB 1290-0004 · Object 763001.

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VI
Alfred Edwards
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2006-10-30
2026-10-20
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OMB No. 1290-0004
					Expires xx/xx/20xx

2006 WIB Survey Questions 

:
Q1	[Local WIBS] Did your WIB award any grants/contracts/cooperative agreements for program year 2005 [July 1, 2005 – June 30, 2006] using WIA Youth funds?

[State WIBs] Did your WIB award any grants/contracts/cooperative agreements for program year 2005 [July 1, 2005 – June 30, 2006] from the WIA State Reserve from the Youth funding that is used for statewide workforce investment activities?  
____	Yes
____	 No

Q2	How many grants/contracts/cooperative agreements did your WIB award for program year 2005?	_____

Q3	Please enter the appropriate information for each organization that received funds from your WIB.

Organization name ______________________________________

	Location
City __________________________
	
State __________________________
	
Amount of grant/contract/cooperative agreement [Enter “0” if you no not know the amount.]  $_________

Type of organization
____ State and local government
____ Educational institution
____ For-profit organization
____  Secular non-profit [501(c) that is not religiously affiliated] 
____ Faith-based non-profit [501(c) that is religiously affiliated]
____ Other organization (Please specify___________________)

Q4	Would you like to review your answers?	
_____	Yes
____ 	 No 	[Select ‘No’ to complete the survey.]