Participant Survey Pilot Project -- ETA-9124A

Senior Community Service Employment Program (SCSEP)

Documents and Forms

Document Name Document Type
TEGL_17-17_PY 18 Planning Instructions and Allotments for SCSEP.PDF Instruction
TEGL_17-17_PY 18 Planning Instructions and Allotments for SCSEP.PDF Instruction
TEGL 20-20.pdf Instruction
TEGL 20-20.pdf Instruction
ETA 9124A Participant Survey ETA-9124A_PARTICIPANT Survey.pdf Form
ETA 9124A Participant Survey ETA-9124A_PARTICIPANT Survey.pdf Form

Information Collection (IC) Details

IC Title:	Participant Survey Pilot Project -- ETA-9124A	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TEGL_17-17_PY 18 Planning Instructions and Allotments for SCSEP.PDF	Yes	Yes	Printable Only
Instruction			TEGL 20-20.pdf	Yes	Yes	Printable Only
Form	ETA 9124A	Participant Survey	ETA-9124A_PARTICIPANT Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,100	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	Previously Approved
Annual Number of Responses for this IC	2,100	2,023	77
Annual IC Time Burden (Hours)	273	-959	1,232
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.