Information Collection

Follow-Up Survey for Self-Employment Training (SET) Demonstration Evaluation

IC 203959 under ICR 201512-1205-005 · OMB 1205-0505.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SET Eval (OMB 1205-0505) Follow-Up Survey enc1 Revised Instrument_Final.docx	Other-survey
Appendix F Advance Letter for follow-up survey- SET - 01 03 2013_Final.docx Appendix F - Advance Letter for Follow up Survey	IC Document
SET Eval (OMB 1205-0505) Follow-Up Survey enc1 Revised Instrument.docx SET Follow-up Survey Revised Instrument Changes Tracked	IC Document
SET Eval (OMB 1205-0505) Follow-Up Survey enc2 Summary Table of Proposed Instrument Revisions.docx Summary of Proposed Changes to the Content of the SET Follow-Up Survey Questionnaire	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-survey			SET Eval (OMB 1205-0505) Follow-Up Survey enc1 Revised Instrument_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,080

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,080	-520	1,600
Annual IC Time Burden (Hours)	360	-173	533
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix F - Advance Letter for Follow up Survey	Appendix F Advance Letter for follow-up survey- SET - 01 03 2013_Final.docx	01/30/2013
SET Follow-up Survey Revised Instrument Changes Tracked	SET Eval (OMB 1205-0505) Follow-Up Survey enc1 Revised Instrument.docx	10/07/2014
Summary of Proposed Changes to the Content of the SET Follow-Up Survey Questionnaire	SET Eval (OMB 1205-0505) Follow-Up Survey enc2 Summary Table of Proposed Instrument Revisions.docx	10/07/2014

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