Follow-Up Survey for Successful Applicants

Self-Employment Training (SET) Demonstration Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0505 can be found here:

Documents and Forms

Document Name Document Type
Appendix C First Followup Survey -SET- revised 01 02 2013.docx Other-survey
Appendix F Advance Letter for follow-up survey- SET - 01 03 2013_Final.docx Appendix F - Advance Letter for Follow up Survey IC Document

Information Collection (IC) Details

IC Title:	Follow-Up Survey for Successful Applicants	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-survey			Appendix C First Followup Survey -SET- revised 01 02 2013.docx		Yes	Yes	Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix F - Advance Letter for Follow up Survey	Appendix F Advance Letter for follow-up survey- SET - 01 03 2013_Final.docx	01/30/2013

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