Information Collection Request

Workforce Investment Act Adult and Dislocated Worker Programs Gold Standard Evaluation

ICR 201511-1205-003 · OMB 1205-0504 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix B 2-Consent.docx Supplementary Document Uploaded 2015-11-12 Available
Appendix B 3-Contact.docx Supplementary Document Uploaded 2015-11-12 Available
Appendix B 1-Registration.docx Supplementary Document Uploaded 2015-11-12 Available
Appendix B_Forms (10-19-15).pdf Supplementary Document Uploaded 2015-11-12 Available
Appendix A WIA and WIOA Authorizing Legislation.pdf Supplementary Document Uploaded 2015-11-12 Available
1205-0504 Part B_WIA Gold Standard Evaluation (11-12-15).docx Supporting Statement B Uploaded 2015-11-12 Available
1205-0504 Supporting Statement A_2-12-16.docx Supporting Statement A Uploaded 2016-02-12 Available
Appendix C 2-Pretest Memo.pdf Supplementary Document Uploaded 2015-11-12 Available
Signed_Statistical_Review_Approval_WIA_Gold_Standard_Follow-up_Survey_Extension, 11.3.2015.pdf Supplementary Document Uploaded 2015-11-12 Available
Appendix E_Federal Register Notice.pdf Supplementary Document Uploaded 2015-11-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
204415 Cost Data Collection, Front Line Staff Activity Log Other-ataff activity log Removed
203938 Cost Data Collection, Program Costs Questionnaire Other-questionnaire Removed
203936 Veterans Focus Groups Other-focus group participant consent form Removed
203935 Protocols for Focus Groups Other-focus group protocols Removed
203934 Veterans' Supplemental Study Staff Interviews Other-state administrator protocol Removed
203927 Resource Room Sign-in Sheet Other-resource room sign-in sheet Removed
203915 Follow Up Survey, 30-Months Other-survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
1,230 0 13,159
615 0 2,581
0 0 0





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 1,230 13,159 0 0 -11,929 0
Annual Time Burden (Hours) 615 2,581 0 0 -1,966 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No