Information Collection

Web/Telephone Survey, Private Sector

IC 200033 under ICR 201204-1205-003 · OMB 1205-0487.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Message Scripts for Follow-Up Calls ans machine or someone else.doc	Other-message for ans machine or som
Script for Telephone Follow-Up Calls 3-8-12.doc	Other-script for telephone follow-up
Green Jobs Implementation Study_Grantee Survey_FINAL_120322.docx	Other-survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-message for ans machine or someone else	Yes	Yes	Paper Only
Other-script for telephone follow-up calls	Yes	Yes	Paper Only
Other-survey	Yes	Yes	Fillable Fileable

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: 532

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	532	532
Annual IC Time Burden (Hours)	177	177
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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