Host Agency Customer Satisfaction – ETA-9124B

Senior Community Service Employment Program (SCSEP)

OMB: 1205-0040

IC ID: 185407

Information Collection (IC) Details

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Host Agency Customer Satisfaction – ETA-9124B
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR Part 641  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9124B Host Agency Survey ETA-9124B_HOST AGENCY Survey_11523.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

4,645 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,645 0 4,617 0 0 28
Annual IC Time Burden (Hours) 604 0 -54 0 0 658
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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