Information Collection

State-Level Technology Based Learning Survey

IC 204066 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⚠️ Notice: This information collection may be referencing outdated material.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
Email_Invitation_State_091012.docx	Other-email invitation for state lev
dol-tbl-survey-state091012.docx	Other-survey
TBL state - Abbreviated OMB Supporting Statement091012.docx Abbreviated Supporting Statement	IC Document

IC Title:

State-Level Technology Based Learning Survey

Agency IC Tracking Number:

IC Status: New

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-email invitation for state level survey			Email_Invitation_State_091012.docx		Yes	Yes	Fillable Printable
Other-survey			dol-tbl-survey-state091012.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 46

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	46	46
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Abbreviated Supporting Statement	TBL state - Abbreviated OMB Supporting Statement091012.docx	09/14/2012

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