Respondent Information Form - Prelease Participants

Linking Employment Activities Pre-Release Evaluation

Documents and Forms

Document Name Document Type
08 LEAP Focus Group Consent Form pre-release_updated 8-12-16.docx Other-RIF: Pre-Release

Information Collection (IC) Details

IC Title:	Respondent Information Form - Prelease Participants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-RIF: Pre-Release			08 LEAP Focus Group Consent Form pre-release_updated 8-12-16.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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