Information Collection Request

Subsidized and Transitional Employment Demonstration (STED) and Enhanced Transitional Jobs Demonstration (ETJD)

ICR 201210-0970-001 · OMB 0970-0413 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
STED Contact Information Update Process and Contract Language - 10.17.12.docx Supplementary Document Uploaded 2012-10-17 Available
STED Justification Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-10-17 Repair queued
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Repair queued
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Repair queued
Appendix_J_Interview Guides_26APR12.doc Supplementary Document Uploaded 2012-05-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202240 Program Staff Time-Use Worksheet Other-Staff-Use Worksheet Modified
202239 Referral Partner Interview Guides Other-Referral Partners Interview Guides Modified
202238 Employer Interview Guides Other-Employer Interview Guides Modified
202237 Program Staff Cost Data Collection Protocol Other-Protocol Modified
202236 Program Staff Interview Guides Other-Program Staff Interview Guides Modified
202235 Employer Implementation Questionnaire Other-Employer Implementation Questionnaire Modified
202234 Worksite Supervisor Implementation Questionnaire Other-Worksite Supervisor Implementation Questionnaire Modified
202233 Program Staff Implementation Questionnaire Other-Program Staff Implementation Questionnaire Modified
202232 Participant Focus Group Discussion Guide Other-Focus Group Guide Modified
202231 Participant Implementation Questionnaire Other-Questionnaire Modified
202230 Participant 12-month survey Other-12 Month Follow-Up Modified
202229 Participant 6-month survey Other-6-month survey Modified
202228 Participant ETJD tracking letters Other-Tracking Letters Modified
202227 Participant STED tracking letters Other-Tracking Letters Modified
202226 Participant Baseline Information Form Other-BIF Modified
202225 Participant Contact Information Form Other-Contact Info Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2015 10/31/2015 10/31/2015
16,187 0 16,187
4,393 0 4,393
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 16,187 16,187 0 0 0 0
Annual Time Burden (Hours) 4,393 4,393 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No