Information Collection

Disability Employment Initiative Grants

IC 227144 under ICR 201601-1225-005 · OMB 1225-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DEI FOA-ETA-17-05.docx www.doleta.gov/grants/pdf/FOA-ETA-17-02.pdf	Other-FOA
DEI Supplemental Supplemental Support Statement.docx DEI Supplemental Supplemental Support Statement	IC Document

IC Title:

Disability Employment Initiative Grants

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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-FOA			DEI FOA-ETA-17-05.docx	https://www.doleta.gov/grants/pdf/FOA-ETA-17-02.pdf	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DEI Supplemental Supplemental Support Statement	DEI Supplemental Supplemental Support Statement.docx	06/09/2017

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