Household Pulse Survey Phase 3.6

Household Pulse Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1013 can be found here:

Documents and Forms

Document Name Document Type
Form PART A, ATTACH A_P Household Pulse Survey Phase 3.6 Form
PART A, ATTACH A_P PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).docx PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).docx Form
PART A, ATTACH A_P PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).docx PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).docx Form

Information Collection (IC) Details

IC Title:	Household Pulse Survey Phase 3.6	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	PART A, ATTACH A_Phase 3.6 Questionnaire_v5	PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).docx	PART A, ATTACH A_Phase 3.6 Questionnaire_v5 (1).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: 62,900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	62,900	62,900
Annual IC Time Burden (Hours)	20,757	20,757
Annual IC Cost Burden (Dollars)	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.