Evaluation of State Vocational Rehabilitation Agency Administration of Supported Employment Programs

Documents and Forms

Document Name Document Type
Evaluation of State Vocational Rehabilitation Agency Administration of Supported Employment Programs Form and Instruction
Online Survey of State Vocational Rehabilitation (VR) Ag SE_Online_Survey_rev_7_3_12.doc Form and Instruction
1820-New (04796) Draft Respondent Letters_Emails.doc Draft Respondent Correspondence IC Document
1820-New (04796) Survey Endorsements.doc Evaluation Endorsements IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluation of State Vocational Rehabilitation Agency Administration of Supported Employment Programs	Agency IC Tracking Number:	04796

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Online Survey of State Vocational Rehabilitation (VR) Agencies on Supported Employment (SE)	SE_Online_Survey_rev_7_3_12.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	249	249
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Draft Respondent Correspondence	1820-New (04796) Draft Respondent Letters_Emails.doc	04/12/2012
Evaluation Endorsements	1820-New (04796) Survey Endorsements.doc	04/12/2012

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