Information Collection

MIS data entry, participants

IC 203505 under ICR 201201-1205-004 · OMB 1205-0507.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0507 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
H-1B_Data_Elements_-_Performance__Evaluation OMB final 2013.xlsx	Other-MIS data fields
H-1B Performance Reporting Handbook Feb 25 2013 final.docx	Instruction
H-1B Impact Study Informed Consent Script to OMB 7-20-12.doc Informaed Consent	IC Document
H-1B Impact Study Participant Consent Form 7-20-12 (Final).doc Consent Form	IC Document

IC Title:

MIS data entry, participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-MIS data fields			H-1B_Data_Elements_-_Performance__Evaluation OMB final 2013.xlsx		Yes	Yes	Fillable Fileable
Instruction			H-1B Performance Reporting Handbook Feb 25 2013 final.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL-ETA-15

FR Citation: 75 FR 6884

Number of Respondents: 45,300

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	45,300	45,300
Annual IC Time Burden (Hours)	15,085	15,085
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Informaed Consent	H-1B Impact Study Informed Consent Script to OMB 7-20-12.doc	08/28/2012
Consent Form	H-1B Impact Study Participant Consent Form 7-20-12 (Final).doc	08/28/2012

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