Information Collection

Gold Card Initiative

IC 205462 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form questionnaire Gold Card Initiative Form and Instruction
questionnaire Gold Card Initiative questinonaire Gold Card Initiative questionnaire 1_4_13.docx Form and Instruction
Abbreviated supporting statement form Gold Card Initiative 1_4_13 extension.doc Abbreviated Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Gold Card Initiative	Agency IC Tracking Number:

IC Status: New

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	questionnaire	Gold Card Initiative questinonaire	Gold Card Initiative questionnaire 1_4_13.docx		Yes	Yes	Fillable Fileable Signable

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 %

	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

Title	Document	Date Uploaded
Abbreviated Supporting Statement	Abbreviated supporting statement form Gold Card Initiative 1_4_13 extension.doc	01/17/2013

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