Information Collection

Grantee Information Collection

IC 202397 under ICR 201202-1205-002 · OMB 1205-0502.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - Organizational Structure.doc	Other-interview protocol - organizat
Appendix B - Recruitment, Intake, Assessment.doc	Other-interview protocol, recruitmen
Appendix C - MTO.doc	Other-mental toughness orientation
Appendix D - Case Management.doc	Other-case management
Appendix E - Academic Services.doc	Other-protocol, academic services
Appendix F - Vocational And Construction Training.doc	Other-vocational and construction tr
Appendix G - Employment Services.doc	Other-protocol, employment services
Appendix H - Youth Leadership And Community Service.doc	Other-protocol, youth leadership & c
Appendix I - Partnerships.doc	Other-protocol, partnerships
Appendix J - Alternative Youth Services.doc	Other-protocol, alternative youth se
Appendix P - Grantee Info Form.doc	Other-grantee information checklist
Cost data Collection Worksheet Appendix_K_-_Cost_Data_Collection_Worksheet.doc	Form
Appendix N - Classroom Observation Checklist.doc classroom checklist	IC Document
Appendix O - Worksite Observation Checklist.doc worksite checklist	IC Document

IC Title:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview protocol - organizational structure			Appendix A - Organizational Structure.doc	Yes	Yes	Paper Only
Other-interview protocol, recruitment intake assessment			Appendix B - Recruitment, Intake, Assessment.doc	Yes	Yes	Paper Only
Other-mental toughness orientation			Appendix C - MTO.doc	Yes	Yes	Paper Only
Other-case management			Appendix D - Case Management.doc	Yes	Yes	Paper Only
Other-protocol, academic services			Appendix E - Academic Services.doc	Yes	Yes	Paper Only
Other-vocational and construction training			Appendix F - Vocational And Construction Training.doc	Yes	Yes	Paper Only
Other-protocol, employment services			Appendix G - Employment Services.doc	Yes	Yes	Fillable Fileable
Other-protocol, youth leadership & community service			Appendix H - Youth Leadership And Community Service.doc	Yes	Yes	Paper Only
Other-protocol, partnerships			Appendix I - Partnerships.doc	Yes	Yes	Paper Only
Other-protocol, alternative youth services			Appendix J - Alternative Youth Services.doc	Yes	Yes	Paper Only
Other-grantee information checklist			Appendix P - Grantee Info Form.doc	Yes	Yes	Paper Only
Form	NA	Cost data Collection Worksheet	Appendix_K_-_Cost_Data_Collection_Worksheet.doc	No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 83

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	996	996
Annual IC Time Burden (Hours)	996	996
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
classroom checklist	Appendix N - Classroom Observation Checklist.doc	05/22/2012
worksite checklist	Appendix O - Worksite Observation Checklist.doc	05/22/2012

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