Information Collection

Gold Card Initiative Questionnaire

IC 201809 under ICR 201005-1205-002 · OMB 1205-0436.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0436 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Gold Card Initiative questionnaire 4-2-12.docx	Other-brief questinonaire
Abbreviated supporting statement form Gold Card Initiative 4-2-12.doc Supporting Statement, Abbreviated	IC Document

IC Title:

Gold Card Initiative Questionnaire

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-brief questinonaire			Gold Card Initiative questionnaire 4-2-12.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	424	424
Annual IC Time Burden (Hours)	1,696	1,696
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement, Abbreviated	Abbreviated supporting statement form Gold Card Initiative 4-2-12.doc	04/03/2012

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