Information Collection

Follow Up Surveys, 15 and 30 months

IC 203915 under ICR 201208-1205-012 · OMB 1205-0504.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0504 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - WIA 15-Month Follow-Up Survey Instrument OMB.docx	Other-survey
Appendix B - 30-Month Follow-Up Survey OMB.docx	Other-survey
Appendix C - Letters and Reminders to Survey Sample Members.docx Appendix C	IC Document

IC Title:

Follow Up Surveys, 15 and 30 months

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Appendix A - WIA 15-Month Follow-Up Survey Instrument OMB.docx		Yes	Yes	Fillable Fileable
Other-survey			Appendix B - 30-Month Follow-Up Survey OMB.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: 2,460

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,460	2,460
Annual IC Time Burden (Hours)	1,435	1,435
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix C	Appendix C - Letters and Reminders to Survey Sample Members.docx	10/02/2012

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