OMB
.report
Search
State Exchange on Employment and Disability (SEED) Evaluation Survey
State Exchange on Employment and Disability Initiative Evaluation
OMB: 1230-0011
IC ID: 224921
OMB.report
DOL/ODEP
OMB 1230-0011
ICR 201612-1230-001
IC 224921
( )
Documents and Forms
Document Name
Document Type
SEED Survey_Final.pdf
websurveyor2.airws.org/Community/se.ashx?s=2511374521585CAA
Instruction
Survey Cover Letter - 5_5.docx
Instruction
Screen shot of SEED survey.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Exchange on Employment and Disability (SEED) Evaluation Survey
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
Instruction
SEED Survey_Final.pdf
http://websurveyor2.airws.org/Community/se.ashx?s=2511374521585CAA
Yes
Yes
Fillable Printable
Instruction
Survey Cover Letter - 5_5.docx
Yes
Yes
Fillable Printable
Instruction
Screen shot of SEED survey.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
500
0
500
0
0
0
Annual IC Time Burden (Hours)
108
0
108
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.