Information Collection

CAPE-Youth Pre-ETS Research

IC 246498 under ICR 202103-1230-001 · OMB 1230-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1230-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1. Recruitment letter_questionnaire_final draft 3.17.21.docx	Other-Recruitment Letter
1. Recruitment letter_questionnaire_final draft 3.17.21.docx	Other-Recruitment Letter
2. Factsheet_ questionnaire_final3.17.21 (1).docx	Other-Fact Sheet
2. Factsheet_ questionnaire_final3.17.21 (1).docx	Other-Fact Sheet
3. Pre-ETS questionnaire 3.17.21.docx	Other-Questionnaire
3. Pre-ETS questionnaire 3.17.21.docx	Other-Questionnaire
4. Recruitment letter_Case study Interview_ final draft 2.11MH.docx	Other-Recruitment Letter
4. Recruitment letter_Case study Interview_ final draft 2.11MH.docx	Other-Recruitment Letter
5. Factsheet_Model State Interview _final draft 3.8.21. (1).docx	Other-Fact Sheet
5. Factsheet_Model State Interview _final draft 3.8.21. (1).docx	Other-Fact Sheet
6. Pre-ETS interview questions 3.18.21.docx	Other-Questionnaire
6. Pre-ETS interview questions 3.18.21.docx	Other-Questionnaire

IC Title:

CAPE-Youth Pre-ETS Research

Agency IC Tracking Number:

202103-0325-002

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment Letter	1. Recruitment letter_questionnaire_final draft 3.17.21.docx	Yes	Yes	Fillable Fileable
Other-Fact Sheet	2. Factsheet_ questionnaire_final3.17.21 (1).docx	Yes	Yes	Fillable Fileable
Other-Questionnaire	3. Pre-ETS questionnaire 3.17.21.docx	Yes	Yes	Fillable Fileable
Other-Recruitment Letter	4. Recruitment letter_Case study Interview_ final draft 2.11MH.docx	Yes	Yes	Fillable Fileable
Other-Fact Sheet	5. Factsheet_Model State Interview _final draft 3.8.21. (1).docx	Yes	Yes	Fillable Fileable
Other-Questionnaire	6. Pre-ETS interview questions 3.18.21.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: 103

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	103	103
Annual IC Time Burden (Hours)	64	64
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.