Information Collection

DEI Data System - Customers with Disabilities

IC 199069 under ICR 201104-1230-001 · OMB 1230-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc	Other-Data Elements to be Collected
DEI_web_portal_screens-1.30.13[.docx	Other-Web Portal Screen Shots
Interveiw_Protocol_1-25-13__TRACK_CHANGES_Final.doc Interview Protocol	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-Data Elements to be Collected			DEI_Training_Site_Visit__Interview_Logistics__Protocol_01-26-13_JV_Final.doc		Yes	Yes	Fillable Fileable
Other-Web Portal Screen Shots			DEI_web_portal_screens-1.30.13[.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: System of Records Notice, DOL/ETA-15

FR Citation: 67 FR 16898

Number of Respondents: 72,493

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	144,986	144,986
Annual IC Time Burden (Hours)	11,647	11,647
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Interview Protocol	Interveiw_Protocol_1-25-13__TRACK_CHANGES_Final.doc	01/30/2013

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