Follow-Up Surveys, 18 and 36 months

Follow-Up Survey Information for Green Jobs and Health Care Impact Evaluation, American Recovery Reinvestment Act Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0506 can be found here:

Documents and Forms

Document Name Document Type
GJ-HC_EVALUATION_FOLLOW-UP_SURVEY fpr 18 and 36 months.docx Other-survey
Green_Jobs_Advance_letter_2 2013 final.docx Letter IC Document

Information Collection (IC) Details

IC Title:	Follow-Up Surveys, 18 and 36 months	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			GJ-HC_EVALUATION_FOLLOW-UP_SURVEY fpr 18 and 36 months.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: 4,024	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	4,024	4,024
Annual IC Time Burden (Hours)	2,213	2,213
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter	Green_Jobs_Advance_letter_2 2013 final.docx	02/12/2013

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