Notice of Action

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date 03/12/2012
Department of Labor
Employment and Training Administration
FOR CERTIFYING OFFICIAL: Thomas Wiesner
FOR CLEARANCE OFFICER: Michel Smyth
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
12/29/2011
ACTION REQUESTED: New collection (Request for a new OMB Control Number)
TYPE OF REVIEW REQUESTED: Regular
ICR REFERENCE NUMBER: 201110-1205-002
AGENCY ICR TRACKING NUMBER:
TITLE: Green Jobs Implementation Evaluation
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER: 1205-0487
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 03/31/2015

DISCONTINUE DATE:

BURDEN:

RESPONSES

HOURS

COSTS

0

0

0

912

266

0

0

0

0

912

266

0

Change due to Agency Adjustment

0

0

0

Change Due to Potential Violation of the PRA

0

0

0

Previous
New
Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE: This information collection request is approved as revised by DOL. DOL will
update this approval through a nonsubstantive change request to provide copies of the final instruments and a
brief report on the results of cognitive testing.
OMB Authorizing Official:

Kevin F. Neyland
Deputy Administrator,
Office Of Information And Regulatory Affairs

List of ICs
IC Title
Web/Telephone Survey
screening calls, Private
Sector
Web/Telephone Survey
Screening Calls, state,
local, and tribal
governments
Web/Telephone Survey,
Private Sector
web/telephone survey,
state, local, tribal
governments

Form No.

Form Name

CFR Citation