Information Collection

Youth With Disabilities WIB Survey

IC 204343 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⚠️ Notice: This information collection may be referencing outdated material.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
WIB Survey YWD 10.25.2.docx	Other-survey
Email_Invitation 10122012.docx Email Invitation	IC Document
WIB survey PRA abbeviated statement YWD 10012012.docx Abbreviated Supporting Statement	IC Document

IC Title:

Youth With Disabilities WIB 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-survey			WIB Survey YWD 10.25.2.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: 455

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	455	455
Annual IC Time Burden (Hours)	379	379
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Email Invitation	Email_Invitation 10122012.docx	10/01/2012
Abbreviated Supporting Statement	WIB survey PRA abbeviated statement YWD 10012012.docx	10/01/2012

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