Information Collection

Participant Data Collection, state and local government grantees

IC 198764 under ICR 201409-1205-005 · OMB 1205-0485.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ETJD Screen Shots.docx	Other-Management Information System
Enhanced Transitional Jobs Demonstration Data Elements.docx Management Information System Data Elelments	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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-Management Information System Screenshots			ETJD Screen Shots.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	857	857
Annual IC Time Burden (Hours)	1,928	1,928
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Management Information System Data Elelments	Enhanced Transitional Jobs Demonstration Data Elements.docx	12/19/2014

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