Web-based Survey for state RESEA administators

Reemployment Services and Eligibility Assessments (RESEA) Implementation Study

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Web-based Survey for state RESEA administators	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:

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 %

	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

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.