State Government Staff Interviews

Demonstration and Evaluation of the Short-Time Compensation Program

Documents and Forms

Document Name Document Type
Form 6 State Government Staff Interviews Form and Instruction
6 State Agency Interview Guide State agency interview guide_ 2.25.15.docx Form and Instruction

Information Collection (IC) Details

IC Title:	State Government Staff Interviews	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6	State Agency Interview Guide	State agency interview guide_ 2.25.15.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: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.