Information Collection

FIC CareerTrac

IC 43635 under ICR 200908-0925-002 · OMB 0925-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0568 can be found here:

Documents and Forms

Document Name Document Type
Form 1 FIC CareerTrac Form and Instruction
1 career trac Screen Shots of CareerTrac(Instrument and Instructions (including Disclosure Statement)).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FIC CareerTrac	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	1	career trac	Screen Shots of CareerTrac(Instrument and Instructions (including Disclosure Statement)).doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	275	-1,975	2,250
Annual IC Time Burden (Hours)	2,200	1,075	1,125
Annual IC Cost Burden (Dollars)	0	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.