Information Collection

Job Accommodations Network (JAN) Customer Satisfaction Survey

IC 183491 under ICR 200708-1225-003 · OMB 1225-0059.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Suvey JAN Employer Interview Job Accommodations Network (JAN) Customer Satisfaction Survey	Form and Instruction
Form Survey JAN Other Interview Job Accommodations Network (JAN) Customer Satisfaction Survey	Form and Instruction
Form Survey JAN Professional Interview Job Accommodations Network (JAN) Customer Satisfaction Survey	Form and Instruction
Form Survey JAN Self Individual Interview Job Accommodations Network (JAN) Customer Satisfaction Survey	Form and Instruction
Form Survey JAN Self-employment Interview 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.