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-participant consent form
Other-baseline information form
Other-informaed consent script
Information Collection (IC) Details

View Information Collection (IC)

Baseline Data Collection
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-participant consent form GJHC Participant Consent Form 3-9-12 (Final).doc Yes Yes Paper Only
Other-baseline information form Green Jobs Baseline Information Form (3-9-12 FINAL).doc Yes Yes Fillable Fileable
Other-informaed consent script GJ-HC Informed Consent Script to OMB 3-9-12.doc Yes Yes Paper Only

Workforce Management Training and Employment

 

3,071 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 3,071 0 0 -2,929 0 6,000
Annual IC Time Burden (Hours) 768 0 0 -532 0 1,300
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.

© 2024 OMB.report | Privacy Policy