SCSEP Customer Satisfaction Surveys

Senior Community Service Employment Program (SCSEP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0040 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9124A, 9124B, SCSEP Customer Satisfaction Surveys Form and Instruction
ETA 9124A, 9124B, SCSEP Customer Satisfaction Surveys ETA 9124A, 9124B, 9124C - Satisfaction Surveys.pdf Form and Instruction
ETA 9124A, 9124B, SCSEP Customer Satisfaction Surveys ETA 9124A, 9124B, 9124C - Satisfaction Surveys.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	SCSEP Customer Satisfaction Surveys	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Part 641 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9124A, 9124B, and 9124C	SCSEP Customer Satisfaction Surveys	ETA 9124A, 9124B, 9124C - Satisfaction Surveys.pdf		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19,250	-1,550	20,800
Annual IC Time Burden (Hours)	3,080	-248	3,328
Annual IC Cost Burden (Dollars)	0	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.