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Pay for Success Pilot Projects
Generic Solicitation for Grant Applications
OMB: 1225-0086
IC ID: 202649
OMB.report
DOL/DM
OMB 1225-0086
ICR 201108-1225-001
IC 202649
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:
2022-06-08 - Extension without change of a currently approved collection
2019-05-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Pay for Success Pilot Projects June 2012.docx
www.grants.gov
Instruction
Pay For Success Pilot Projects SGA Justification(20120611).doc
Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pay for Success Pilot Projects
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
Pay for Success Pilot Projects June 2012.docx
www.grants.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
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:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
10
0
10
0
0
0
Annual IC Time Burden (Hours)
200
0
200
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Justification
Pay For Success Pilot Projects SGA Justification(20120611).doc
06/11/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.