Information Collection Request

Self-Employment Training (SET) Demonstration Evaluation

ICR 201408-1205-005 · OMB 1205-0505 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SET Eval (OMB 1205-0505) Follow-Up Survey _Non-Substantive Change Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-09-26 Available
Part A - SET demonstration-revised 01 02 2013 .docx Supporting Statement A Uploaded 2013-01-29 Available
Part B - SET demonstration-revised 01 02 2013 .docx Supporting Statement B Uploaded 2013-01-29 Available
CEO Approval.pdf Supplementary Document Uploaded 2012-09-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
203963 Service Termination Information Other-Participant Service Termination Form Unchanged
203962 Seed Capital Request Form, Self-Employment Advisors Other-seed capital request Unchanged
203961 Seed Capital Request Form, SET Program Participants Other-seed capital request Unchanged
203960 Participant Tracking Data Other-monthly participant tracking Unchanged
203959 Follow-Up Survey for Self-Employment Training (SET) Demonstration Evaluation Other-survey Modified
203958 Site Visits, Additional MDO & AJC Staff, etc Other-protocol Unchanged
203957 Site Visits, Self-Employment Advisors, etc Other-site visit protocols Unchanged
203956 Case Study Interviews Other-protocol Unchanged
203955 Applicants to the Program Other-Application for the Program Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2016 01/31/2016 01/31/2016
10,002 0 10,002
4,277 0 5,344
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 10,002 10,002 0 0 0 0
Annual Time Burden (Hours) 4,277 5,344 0 -1,067 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No