Baseline Data Collection

Green Jobs and Health Care Impact Evaluation of ARRA-funded Grants

OMB: 1205-0481

IC ID: 197676

Documents and Forms
Document Name
Document Type
Other-consent form
Other-baseline information
Information Collection (IC) Details

View Information Collection (IC)

Baseline Data Collection
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-baseline information Green Jobs Baseline Information Form (7-15-11 FINAL).doc Yes Yes Fillable Fileable
Other-consent form GJHC Participant Consent Form 6-30-11 (Final Clean).doc No   Printable Only

Workforce Management Training and Employment

 

6,000 0
   
Individuals or Households
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,000 0 6,000 0 0 0
Annual IC Time Burden (Hours) 1,300 0 1,300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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