Information Collection

Survey

IC 203686 under ICR 201208-1205-007 · OMB 1205-0503.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0503 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A1_Informed Consent Form_12-Month-Survey_Final.pdf	Other-informed consent
AppendixA_Follow_Up_Survey_CATI_12-05-12.docx	Other-survey
AppendixA2_Follow_Up_Survey_WEB_12-05-12.docx	Other-survey
Appendix E_FAQs_Follow-up_Survey_Final.pdf Frequently Asked Questions	IC Document
Appendix B_Advance Letter_T and C_Follow-up_Survey_Final.pdf Advance Letter	IC Document
Appendix B1_Advance Email_T_and_C_Follow-up_Survey_Final.pdf Advance Letter Email Version	IC Document
Appendix C_Interim_Letter_Follow-up_Survey_Final.pdf Participant Interim Letter	IC Document

IC Title:

Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-informed consent	Appendix A1_Informed Consent Form_12-Month-Survey_Final.pdf	Yes	Yes	Paper Only
Other-survey	AppendixA_Follow_Up_Survey_CATI_12-05-12.docx	Yes	Yes	Fillable Printable
Other-survey	AppendixA2_Follow_Up_Survey_WEB_12-05-12.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,772

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,772	2,772
Annual IC Time Burden (Hours)	1,848	1,848
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Frequently Asked Questions	Appendix E_FAQs_Follow-up_Survey_Final.pdf	09/13/2012
Advance Letter	Appendix B_Advance Letter_T and C_Follow-up_Survey_Final.pdf	09/13/2012
Advance Letter Email Version	Appendix B1_Advance Email_T_and_C_Follow-up_Survey_Final.pdf	09/13/2012
Participant Interim Letter	Appendix C_Interim_Letter_Follow-up_Survey_Final.pdf	09/13/2012

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