Information Collection

Web/Telephone Survey Screening Calls, state, local, and tribal governments

IC 200031 under ICR 201204-1205-003 · OMB 1205-0487.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
646241 - GJHC Implementation_Appendix B - Script for Screening Calls (5-27-11).doc	Other-script for screening calls
GJHC Implementation_ Email Survey Invitations (3-8-12).doc Emailed survey invitations	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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-script for screening calls			646241 - GJHC Implementation_Appendix B - Script for Screening Calls (5-27-11).doc		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-15

FR Citation: 67 FR 16898

Number of Respondents: 46

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Emailed survey invitations	GJHC Implementation_ Email Survey Invitations (3-8-12).doc	03/09/2012

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