Information Collection

Employer Survey

IC 271009 under ICR 202409-1290-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Employer Survey	Form
WOTC Employer Survey Employer Survey.pdf survey.alchemer.com/s3/7871851/WOTC-Employer-Survey	Form

IC Title:

Employer Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	N/A	WOTC Employer Survey	Employer Survey.pdf	https://survey.alchemer.com/s3/7871851/WOTC-Employer-Survey	Yes	Yes	Fillable Fileable

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: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.