Employer Short-Form Survey

Demonstration and Evaluation of the Short-Time Compensation Program

OMB: 1291-0005

IC ID: 215996

Information Collection (IC) Details

View Information Collection (IC)

Employer Short-Form Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Oregon Short-Form Employer Survey Oregon SF Survey 2-24-2015.docx Yes Yes Fillable Fileable
Form and Instruction 1 Iowa Short-Form Employer Survey 201504-1291-002_Iowa Survey SF_2015-10-01_clean_final.docx Yes Yes Fillable Fileable

Economic Development Business and Industry Development

 

2,000 0
   
Private Sector Businesses or other for-profits
 
   70 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Iowa- Invitation letter to participate in web-based short-form survey Invitation letter Iowa 2_25_15-SF.docx 04/07/2015
Iowa- Invitation letter to participate in paper-based short-form survey Invitation letter Iowa 2_25_15-SF_paper.docx 04/07/2015
Oregon- Invitation letter to participate in web-based short-form survey Invitation letter Oregon 2_25_15-SF.docx 04/07/2015
Oregon- Invitation letter to participate in paper-based short-form survey Invitation letter Oregon 2_25_15-SF_paper.docx 04/07/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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