PHAP Host Site Supervisor Survey

[PHIC]The Division of Workforce Development (DWD) Fellowship Alumni Assessment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1078 can be found here:

Documents and Forms

Document Name Document Type
PHAP Host Site Supervisor Survey Form and Instruction
Attachment B_PHAP Host Site Supervisor Survey_FINAL.docx Other-WORD version of survey to faci
Attachment B_PHAP Host Site Supervisor Survey_FINAL.docx Other-WORD version of survey to faci
PHAP Host Site Supervisor Survey Attachment F_PHAP Host Site Supervisor Survey Screen Shots_FINAL.pdf Form and Instruction
PHAP Host Site Supervisor Survey Attachment F_PHAP Host Site Supervisor Survey Screen Shots_FINAL.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	PHAP Host Site Supervisor Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	PHAP Host Site Supervisor Survey	Attachment F_PHAP Host Site Supervisor Survey Screen Shots_FINAL.pdf		Yes	Yes	Fillable Fileable
Other-WORD version of survey to facilitate review of content			Attachment B_PHAP Host Site Supervisor Survey_FINAL.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-400	400
Annual IC Time Burden (Hours)	-133	133
Annual IC Cost Burden (Dollars)	-4,672	4,672

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.