Information Collection

ETA CareerOneStop Customer Experience Form

IC 264005 under ICR 202312-1225-004 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ETA CareerOneStop Customer Experience Form	Form and Instruction
COS TouchPoints Survey Questions COS TouchPoints survey questions UPdated 12_8_2023.docx CareerOneStop.org	Form and Instruction
COS TouchPoints Survey Questions COS TouchPoints survey questions UPdated 12_8_2023.docx CareerOneStop.org	Form and Instruction
ICR Template_A11 Section 280 Clearance.docx Supporting Statement for ETA CareerOneStop Customer Experience Form	IC Document
ICR Template_A11 Section 280 Clearance.docx Supporting Statement for ETA CareerOneStop Customer Experience Form	IC Document

IC Title:

ETA CareerOneStop Customer Experience Form

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	N/A	COS TouchPoints Survey Questions	COS TouchPoints survey questions UPdated 12_8_2023.docx	CareerOneStop.org	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement for ETA CareerOneStop Customer Experience Form	ICR Template_A11 Section 280 Clearance.docx	12/20/2023

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