Information Collection

Participant Interview Information Form

IC 254154 under ICR 202206-1290-001 · OMB 1290-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment H_SUPPORT Act Grants_Participant Interview Information Form_draft 2 clean.docx	Other-Information Form
Attachment H_SUPPORT Act Grants_Participant Interview Information Form_draft 2 clean.docx	Other-Information Form

IC Title:

Agency IC Tracking Number:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Information Form			Attachment H_SUPPORT Act Grants_Participant Interview Information Form_draft 2 clean.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	2	2
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.