Cost Data Collection, Program Costs Questionnaire

Workforce Investment Act Adult and Dislocated Worker Programs Gold Standard Evaluation

Documents and Forms

Document Name Document Type
Appendix D - cost Data Collection, part 2, program cost questionnaire.docx Other-questionnaire
Appendix D - Cost Data Collection, part 1, ltr to LWIA Administrator.docx Appendix D Part 1, Letter to LWIA IC Document

Information Collection (IC) Details

IC Title:	Cost Data Collection, Program Costs Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire			Appendix D - cost Data Collection, part 2, program cost questionnaire.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-28	28
Annual IC Time Burden (Hours)	-336	336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix D Part 1, Letter to LWIA	Appendix D - Cost Data Collection, part 1, ltr to LWIA Administrator.docx	10/09/2012

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