Job Accommodation Network

Generic Solicitation for Grant Applications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Document Name Document Type
JAN SGA for OMB PRA Clearance 5-25-12.doc www.grants.gov Instruction
Sample Logic Model for JAN SGA 05_25_12_revised.doc www.grants.gov Instruction
JAN SGA_OIRA Memo(20120607).doc Justification IC Document

Information Collection (IC) Details

IC Title:	Job Accommodation Network	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			JAN SGA for OMB PRA Clearance 5-25-12.doc	www.grants.gov	Yes	Yes	Fillable Fileable
Instruction			Sample Logic Model for JAN SGA 05_25_12_revised.doc	www.grants.gov	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 10

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	JAN SGA_OIRA Memo(20120607).doc	06/07/2012

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