Baseline Information Form

Cascades Job Corps College and Career Academy Pilot Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0012 can be found here:

Documents and Forms

Document Name Document Type
CJC ICR_Baseline Information Form 10-21-16.docx Other-null

Information Collection (IC) Details

IC Title:	Baseline Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Other-null			CJC ICR_Baseline Information Form 10-21-16.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 733	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	733	733
Annual IC Time Burden (Hours)	242	242
Annual IC Cost Burden (Dollars)	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.