Information Collection

Jobs for America's Jobseekers - Challenge - Phase One - State, local governments

IC 191248 under ICR 200912-1205-001 · OMB 1205-0476.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FullscreenforOMB.doc	Other-screen shot
1205-0476 Note to Reviewer.doc Note to Reviewer	IC Document

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screen shot			FullscreenforOMB.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: 340

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	340	340
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer	1205-0476 Note to Reviewer.doc	12/22/2009

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