Information Collection

UNCOVER EH Survey

IC 225219 under ICR 201710-0920-002 · OMB 0920-1187.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
UNCOVER EH Survey	Form
Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (clean text).docx	Other-Supplementary Document - clean
Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (track changes).docx	Other-Supplementary Document - track
UNCOVER EH Survey (Revised October 2017) Attachment 5b_REVISED Oct 2017. UNCOVER EH Survey (online).docx	Form

IC Title:

UNCOVER EH Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	UNCOVER EH Survey (Revised October 2017)	Attachment 5b_REVISED Oct 2017. UNCOVER EH Survey (online).docx	Yes	Yes	Fillable Fileable
Other-Supplementary Document - clean copy of revised survey text			Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (clean text).docx	No		Paper Only
Other-Supplementary Document - track changes copy of revised survey text			Attachment 5a_REVISED Oct 2017. UNCOVER EH Survey (track changes).docx	No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16,000	16,000
Annual IC Time Burden (Hours)	8,000	8,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.