Information Collection

RExO participant survey, second round

IC 197890 under ICR 201308-1205-007 · OMB 1205-0498.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix_B_survey, early bird 5 23 2012.docx	Other-survey
Appendix_B_survey,regular 5 23 2012.docx	Other-survey
Appendix_D_Agree_to_participate_.doc Agree to Participate	IC Document
RExO_ADVANCE_LETTER 5 23 2012.doc Advance Letter	IC Document
RExO_ADVANCE_LETTER, without early bird incentive, 6.1.2012.doc advance letter without early bird incentive	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			Appendix_B_survey, early bird 5 23 2012.docx		Yes	Yes	Fillable Fileable
Other-survey			Appendix_B_survey,regular 5 23 2012.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-15, published April 8, 2002

FR Citation: 67 FR 16898

Number of Respondents: 2,374

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,374	-888	3,262
Annual IC Time Burden (Hours)	1,187	-444	1,631
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Agree to Participate	Appendix_D_Agree_to_participate_.doc	01/20/2012
Advance Letter	RExO_ADVANCE_LETTER 5 23 2012.doc	05/23/2012
advance letter without early bird incentive	RExO_ADVANCE_LETTER, without early bird incentive, 6.1.2012.doc	06/01/2012

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