Excellence in Disability Inclusion Award Applicant Survey

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.