Information Collection

Interviews conducted on site visits

IC 210576 under ICR 201403-1290-001 · OMB 1290-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Interviews conducted on site visits	Form and Instruction
2 Site Visit Interview Guide and Physical Assessment IMPAQ_Int Guide and Phys. Assess._040814.docx	Form and Instruction

IC Title:

Interviews conducted on site visits

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form and Instruction	2	Site Visit Interview Guide and Physical Assessment	IMPAQ_Int Guide and Phys. Assess._040814.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 100

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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