Employment Navigator Intake Form

Employment Navigator Data Collection and Matching

OMB: 1293-0016

IC ID: 245214

Information Collection (IC) Details

View Information Collection (IC)

Employment Navigator Intake Form
 
Yes New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Employment Navigator Intake Form Employment Navigator Intake Form.xlsx Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

15,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,000 0 15,000 0 0 0
Annual IC Time Burden (Hours) 5,000 0 5,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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