Information Collection

Web-based Survey for state RESEA administators

IC 238050 under ICR 202211-1290-001 · OMB 1290-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RESEA Survey_Wave4 Revisions_Clean.docx	Other-Survey
RESEA Survey_Wave4 Revisions_Clean.docx	Other-Survey
RESEA Survey revised final_(20200521rev)_tracked changes.docx Survey reviesd instrument in track changes	IC Document
RESEA Survey revised final_(20200521rev)_tracked changes.docx Survey reviesd instrument in track changes	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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-Survey			RESEA Survey_Wave4 Revisions_Clean.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: 17

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	17	17
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey reviesd instrument in track changes	RESEA Survey revised final_(20200521rev)_tracked changes.docx	05/27/2020

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