Information Collection

The Workforce Program Organizational Assessment Interview Protocol

IC 262100 under ICR 202309-0915-002 · OMB 0915-0396.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
6. The Workforce Program Org Assessment Interview Guide__6.5.23_clean.docx	Other-Virtual Interview Guide
6. The Workforce Program Org Assessment Interview Guide__6.5.23_clean.docx	Other-Virtual Interview Guide

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-Virtual Interview Guide			6. The Workforce Program Org Assessment Interview Guide__6.5.23_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	50	50
Annual IC Time Burden (Hours)	50	50
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.