Information Collection

Follow-Up Surveys, 18 and 36 months

IC 204169 under ICR 201308-1205-001 · OMB 1205-0506.

Documents and Forms

Documents and forms in this information collection
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
GJ-HC_Higher Incentive Reminder Letter_FORM.docx Advance Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-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: 5,304

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,304	1,280	4,024
Annual IC Time Burden (Hours)	2,918	705	2,213
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Letter	Green_Jobs_Advance_letter_2 2013 final.docx	02/12/2013
Advance Letter	GJ-HC_Higher Incentive Reminder Letter_FORM.docx	08/29/2013

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