Manager Survey

Program Effectiveness Evaluation of a Workplace Intervention for Intimate Partner Violence

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0789 can be found here:

Documents and Forms

Document Name Document Type
Form No number Manager Survey Form and Instruction
No number Manager Survey Appendix B_IPV Workplace._1.21.08.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Manager Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	No number	Manager Survey	Appendix B_IPV Workplace._1.21.08.doc		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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