Job Accommodation Network (JAN) Customer Satisfaction Surveys

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⚠️ Notice: This information collection may be referencing outdated material.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 Accommodation Network (JAN) Customer Satisfaction Surveys Form and Instruction
Survey JAN Other Interview MODIFIED JAN OTHER Interview revised 6.23.09final.doc Form and Instruction
Survey JAN Professional Interview MODIFIED JAN Professional Interview revised 6.23.09final.doc Form and Instruction
Survey JAN Self-Individual Interview MODIFIED JAN SELF.Individual Interview revised 6.23.09final.doc Form and Instruction
Survey JAN Self-Employment Interview MODIFIED JAN Self-employment Interview revised 12.17.07final.doc Form and Instruction
Survey JAN Employer Interview MODIFIED_EMPLOYER Interview revised 6.23.09 final.doc Form and Instruction
Justification memo for OMB.doc Note to Reviewer IC Document
Revised Questions.doc Revised Questions IC Document

Information Collection (IC) Details

IC Title:	Job Accommodation Network (JAN) Customer Satisfaction Surveys	Agency IC Tracking Number:	ODEP-2009-02

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 Professional Interview	MODIFIED JAN Professional Interview revised 6.23.09final.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Self-Individual Interview	MODIFIED JAN SELF.Individual Interview revised 6.23.09final.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Self-Employment Interview	MODIFIED JAN Self-employment Interview revised 12.17.07final.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Employer Interview	MODIFIED_EMPLOYER Interview revised 6.23.09 final.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Survey	JAN Other Interview	MODIFIED JAN OTHER Interview revised 6.23.09final.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 Agency Discretion
Annual Number of Responses for this IC	6,300	6,300
Annual IC Time Burden (Hours)	1,346	1,346
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer	Justification memo for OMB.doc	08/12/2009
Revised Questions	Revised Questions.doc	08/12/2009

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