Employer Survey

Work Opportunity Tax Credit (WOTC) Implementation Evaluation

Documents and Forms

Document Name Document Type
Employer Survey Form
WOTC Employer Survey Employer Survey.pdf survey.alchemer.com/s3/7871851/WOTC-Employer-Survey Form

Information Collection (IC) Details

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:

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 %

	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

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.