Quarterly Reports file by Grantees of the Drug Free Workplace Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0353 can be found here:

Documents and Forms

Document Name Document Type
Drug Free Work Place Proposals.doc Other-proposal

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Reports file by Grantees of the Drug Free Workplace Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-proposal			Drug Free Work Place Proposals.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28	-24	52
Annual IC Time Burden (Hours)	112	-1,232	1,344
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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