Information Collection

Plan for Evaluation of the Trade Adjustment Assistance Program

IC 43794 under ICR 200905-1205-002 · OMB 1205-0460.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix A Plan for Evaluation of the Trade Adjustment Assistance Program	Form and Instruction
Appendix A Baseline Survey Appendix A-Baseline Survey.final.doc	Form and Instruction
Appendix B Follow Up Survey Appendix B - FollowupSurvey.final.doc	Form and Instruction
Appendix C State UI Data Request Appendix C- State UI data Request.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Appendix B	Follow Up Survey	Appendix B - FollowupSurvey.final.doc	Yes	No	Fillable Printable
Form and Instruction	Appendix A	Baseline Survey	Appendix A-Baseline Survey.final.doc	Yes	No	Fillable Printable
Form and Instruction	Appendix C	State UI Data Request	Appendix C- State UI data Request.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: 1,357

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,357	-296	1,653
Annual IC Time Burden (Hours)	940	-1,144	2,084
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.