Information Collection

Workforce Pledge Award Application Form

IC 242184 under ICR 202006-0690-001 · OMB 0690-0034.

Documents and Forms

Document Name Document Type
Workforce Pledge Award Application Form Form and Instruction
Workforce Pledge Award Application Form Workforce Pledge Award Application Form 060820 final.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Workforce Pledge Award Application Form	Agency IC Tracking Number:

Is this a Common Form? No		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	None	Workforce Pledge Award Application Form	Workforce Pledge Award Application Form 060820 final.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	18,273	18,273

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.