Information Collection

Aim 2a Cohort Follow Up Survey (English/Spanish)

IC 263128 under ICR 202401-0920-004 · OMB 0920-1423.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1423 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MOD00003217 Aim 2a Cohort Follow Up Survey (English/Spanish)	Form and Instruction
MOD00003217 Aim 2a Cohort Follow Up Survey English Att 4k_Aim2aCohortFollowUpSurveyEnglish CLEAN.docx	Form and Instruction
MOD00003217 Aim 2a Cohort Follow Up Survey English Att 4k_Aim2aCohortFollowUpSurveyEnglish CLEAN.docx	Form and Instruction
0920-1423-24BY Encuesta de seguimiento de cohortes (Aim2aCohortFollowUp Att 4k.a_Aim2aCohortFollowUpSurveySpanish CLEAN.docx	Form and Instruction
0920-1423-24BY Encuesta de seguimiento de cohortes (Aim2aCohortFollowUp Att 4k.a_Aim2aCohortFollowUpSurveySpanish CLEAN.docx	Form and Instruction
Att 4k.1_Aim2aCohortFollowUpSurveyEnglish(TC).docx Att 4k.1_Aim 2a Cohort Follow-UP Survey (TC)	IC Document
Att 4k.1_Aim2aCohortFollowUpSurveyEnglish(TC).docx Att 4k.1_Aim 2a Cohort Follow-UP Survey (TC)	IC Document

IC Title:

Aim 2a Cohort Follow Up Survey (English/Spanish)

Agency IC Tracking Number:

0920-1423-24BY

Is this a Common Form? No

IC Status: Modified

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	MOD00003217	Aim 2a Cohort Follow Up Survey English	Att 4k_Aim2aCohortFollowUpSurveyEnglish CLEAN.docx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-1423-24BY	Encuesta de seguimiento de cohortes (Aim2aCohortFollowUpSurveySpanish)	Att 4k.a_Aim2aCohortFollowUpSurveySpanish 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: 134

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	134	134
Annual IC Time Burden (Hours)	302	302
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 4k.1_Aim 2a Cohort Follow-UP Survey (TC)	Att 4k.1_Aim2aCohortFollowUpSurveyEnglish(TC).docx	01/05/2024

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