Information Collection

Cost Data Collection, Program Costs Questionnaire

IC 203938 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⚠️ Notice: This information collection may be referencing outdated material.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 D - cost Data Collection, part 2, program cost questionnaire.docx	Other-questionnaire
Appendix D - Cost Data Collection, part 1, ltr to LWIA Administrator.docx Appendix D Part 1, Letter to LWIA	IC Document

IC Title:

Cost Data Collection, Program Costs Questionnaire

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire			Appendix D - cost Data Collection, part 2, program cost questionnaire.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	28	28
Annual IC Time Burden (Hours)	336	336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D Part 1, Letter to LWIA	Appendix D - Cost Data Collection, part 1, ltr to LWIA Administrator.docx	10/09/2012

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