Information Collection

Follow Up Survey, 30-Months

IC 203915 under ICR 201511-1205-003 · OMB 1205-0504.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C-Surveys and FAQ.pdf	Other-survey
Appendix C 1-30-Month Follow-Up Survey.docx	Other-survey
Appendix D_Letters and Postcards.pdf	Other-Letters & New Reminders to Sur
Appendix C 3-FAQ.docx Appendix C 3	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey	Yes	Yes	Fillable Fileable
Other-survey	Yes	Yes	Fillable Fileable
Other-Letters & New Reminders to Survey Samples Members	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,230

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,230	-1,230	2,460
Annual IC Time Burden (Hours)	615	-820	1,435
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix C 3		11/12/2015

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

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