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Veterans' Supplemental Study Staff Interviews
WIA Gold Standard Follow-Up Surveys, Veterans' Study, and Cost Data
OMB: 1205-0504
IC ID: 203934
OMB.report
DOL/ETA
OMB 1205-0504
ICR 201208-1205-012
IC 203934
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0504 can be found here:
2016-02-23 - Revision of a currently approved collection
2015-03-09 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix E_Part 1_State Administrator Protocol.docx
Other-state administrator protocol
Appendix E_Part 2_ AJC Staff Protocol.docx
Other-AJC Staff Protocol
Appendix E_Part 3_Local Vets Staff Protocol.docx
Other-Vets Staff Protocol
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Veterans' Supplemental Study Staff Interviews
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-state administrator protocol
Appendix E_Part 1_State Administrator Protocol.docx
Yes
Yes
Paper Only
Other-AJC Staff Protocol
Appendix E_Part 2_ AJC Staff Protocol.docx
Yes
Yes
Paper Only
Other-Vets Staff Protocol
Appendix E_Part 3_Local Vets Staff Protocol.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
271
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
271
0
271
0
0
0
Annual IC Time Burden (Hours)
243
0
243
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.