Information Collection Request

Demonstration and Evaluation of the Short-Time Compensation Program

ICR 201504-1291-002 · OMB 1291-0005 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 6 State Agency Interview Guide Form and Instruction New Available
Form 5 Employer Interview Guide Form and Instruction New Available
Form 4 Oregon Long-Form Employer Survey Form and Instruction New Available
Form 3 Iowa Employer Long-Form Survey Form and Instruction New Available
Form 2 Oregon Short-Form Employer Survey Form and Instruction New Available
Form 1 Iowa Short-Form Employer Survey Form and Instruction New Available
Westat STC Approval.pdf Supplementary Document Uploaded 2015-08-21 Available
201504-1291-001_Part A_10-01_clean_final.docx Supporting Statement A Uploaded 2015-10-02 Available
201504-1291-002_Part_B_10-02_clean_final.docx Supporting Statement B Uploaded 2015-10-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216000 State Government Staff Interviews Form and Instruction NewState Agency Interview Guide
215999 Employer Interviews Form and Instruction NewEmployer Interview Guide
215997 Employer Long-Form Survey Form and Instruction NewOregon Long-Form Employer Survey
215997 Employer Long-Form Survey Form and Instruction NewIowa Employer Long-Form Survey
215996 Employer Short-Form Survey Form and Instruction NewOregon Short-Form Employer Survey
215996 Employer Short-Form Survey Form and Instruction NewIowa Short-Form Employer Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2018 36 Months From Approved
2,858 0 0
270 0 0
0 0 0





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4
table that charts list of burden
IC Title Form No. Form Name
Employer Interviews 5
Employer Long-Form Survey 4, 3 ,  
Employer Short-Form Survey 1, 2 ,  
State Government Staff Interviews 6

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 2,858 0 0 2,858 0 0
Annual Time Burden (Hours) 270 0 0 270 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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