Information Collection Request

Self-Employment Training (SET) Demonstration Evaluation

ICR 201209-1205-001 · OMB 1205-0505 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Part A - SET demonstration-revised 01 02 2013 .docx Supporting Statement A Uploaded 2013-01-29 Available
Part B - SET demonstration-revised 01 02 2013 .docx Supporting Statement B Uploaded 2013-01-29 Available
CEO Approval.pdf Supplementary Document Uploaded 2012-09-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
203963 Service Termination Information Other-Participant Service Termination Form New
203962 Seed Capital Request Form, Self-Employment Advisors Other-seed capital request New
203961 Seed Capital Request Form, SET Program Participants Other-seed capital request New
203960 Participant Tracking Data Other-monthly participant tracking New
203959 Follow-Up Survey for Successful Applicants Other-survey New
203958 Site Visits, Additional MDO & AJC Staff, etc Other-protocol New
203957 Site Visits, Self-Employment Advisors, etc Other-site visit protocols New
203956 Case Study Interviews Other-protocol New
203955 Applicants to the Program Other-Application for the Program New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved
10,002 0 0
5,344 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,002 0 0 10,002 0 0
Annual Time Burden (Hours) 5,344 0 0 5,344 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No