Information Collection

Students enrolled in Workforce program(webbased student baseline survey)

IC 195738 under ICR 201012-0990-002 · OMB 0990-0372.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0372 can be found here:

Documents and Forms

Document Name Document Type
0990-Attachment 1 - Web Based Student SurveyITHealthcare.doc Other-survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Students enrolled in Workforce program(webbased student baseline survey)	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-survey			0990-Attachment 1 - Web Based Student SurveyITHealthcare.doc		No	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,233	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,233	1,233
Annual IC Time Burden (Hours)	411	411
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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