Job Accommodations Network (JAN) Customer Satisfaction Survey

Customer Satisfaction Surveys and Conference Evaluations Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
Form Survey Job Accommodations Network (JAN) Customer Satisfaction Survey Form and Instruction
Suvey JAN Employer Interview JAN EMPLOYER Interview revised 12.17.07.doc Form and Instruction
Survey JAN Other Interview JAN OTHER Interview revised 12.17.07.doc Form and Instruction
Survey JAN Professional Interview JAN Professional Interview revised 12.17.07.doc Form and Instruction
Survey JAN Self Individual Interview JAN SELF.Indivdiual Interview revised 12.17.07.doc Form and Instruction
Survey JAN Self-employment Interview JAN Self-employment Interview revised 12.17.07.doc Form and Instruction
JAN Survey Clearance 1225-0059-Vs3 0-FORMSrevised.doc JAN Generic Clearance Form IC Document
Survey questions - deletions and order change justifications 12-21-07.doc Changes to JAN-2008 IC Document

Information Collection (IC) Details

IC Title:	Job Accommodations Network (JAN) Customer Satisfaction Survey	Agency IC Tracking Number:	ODEP-05-01

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Survey	JAN Self-employment Interview	JAN Self-employment Interview revised 12.17.07.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Suvey	JAN Employer Interview	JAN EMPLOYER Interview revised 12.17.07.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Other Interview	JAN OTHER Interview revised 12.17.07.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Professional Interview	JAN Professional Interview revised 12.17.07.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Self Individual Interview	JAN SELF.Indivdiual Interview revised 12.17.07.doc	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	6,300	0	0	0	0	0
Annual IC Time Burden (Hours)	1,346	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
JAN Generic Clearance Form	JAN Survey Clearance 1225-0059-Vs3 0-FORMSrevised.doc	01/23/2008
Changes to JAN-2008	Survey questions - deletions and order change justifications 12-21-07.doc	01/23/2008

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