Information Collection

Employer Interviews

IC 215999 under ICR 201504-1291-002 · OMB 1291-0005.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 Employer Interviews	Form and Instruction
5 Employer Interview Guide 201504-1291-002_Implementation Study Instrument_2015-10-01_clean_final.docx	Form and Instruction

IC Title:

Employer Interviews

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	5	Employer Interview Guide	201504-1291-002_Implementation Study Instrument_2015-10-01_clean_final.docx		Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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