Information Collection

Participant Survey

IC 235434 under ICR 201903-1290-003 · OMB 1290-0028.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AAI Participant Survey Revised 12 21 18 clean-ROCIS.docx	Instruction
Follow up emails for participant survey.doc Follow up email for participant	IC Document
Participant Survey Intro and Consent rev 10-24-19.docx Participant Survey Info and Consent	IC Document

IC Title:

Participant Survey

Agency IC Tracking Number:

Is this a Common Form? No

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
Instruction					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 667

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	667	667
Annual IC Time Burden (Hours)	334	334
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Follow up email for participant		10/24/2019
Participant Survey Info and Consent		10/24/2019

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

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