Participant Data Collection, state and local government grantees

Enhanced Transitional Jobs Demonstration

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Participant Data Collection, state and local government grantees	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:

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 %

	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

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.