Information Collection

Excellence in Disability Inclusion Award Applicant Survey

IC 237085 under ICR 201701-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Excellence in Disability Inclusion Award Applicant Survey	Form and Instruction
2019_FedCASIC_Evaluation_Survey_Clearance_Request_Supplemental Supporting Statement_20190725.docx	Form and Instruction
2019_FedCASIC_Evaluation_Survey_Clearance_Request_Supplemental Supporting Statement_20190725.docx Supplemental Suppoorting Statement: Excellence in Disability Inclusion (EDI) Award Applicant Survey	IC Document

IC Title:

Excellence in Disability Inclusion Award Applicant Survey

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
Form and Instruction	NA	NA	2019_FedCASIC_Evaluation_Survey_Clearance_Request_Supplemental Supporting Statement_20190725.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 67

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67	67
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplemental Suppoorting Statement: Excellence in Disability Inclusion (EDI) Award Applicant Survey	2019_FedCASIC_Evaluation_Survey_Clearance_Request_Supplemental Supporting Statement_20190725.docx	07/25/2019

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