ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey Form and Instruction
Administration 1 ODEP ETM Generic PRA Form Feb 2024_Admin1.docx www.surveymonkey.com/r/Preview/?sm=fUQvIxyYwafZapKxm89QktW0JLD5xG_2BklmSg7gotwUR8oZ3TtIbWdCVshoWV5A4y Form and Instruction
Administration 2 ODEP ETM Generic PRA Form Feb 2024_Admin2.docx www.surveymonkey.com/r/Preview/?sm=nTcNqV_2B47bRiLYtUB7oBG6dYBfxz_2BT0QXkYkgjGcdtZa8XwTN5jHv8qYWNI0W2Kz Form and Instruction
ODEP ETM Generic PRA Form Feb 2024_SS.docx Supporting Statement IC Document
ODEP ETM Generic PRA Form Feb 2024_email invitation.docx email invitation to survey IC Document

Information Collection (IC) Details

IC Title:	ODEP Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey	Agency IC Tracking Number:

IC Status: Unchanged

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	Administration 1	ODEP ETM Generic PRA Form Feb 2024_Admin1.docx	https://www.surveymonkey.com/r/Preview/?sm=fUQvIxyYwafZapKxm89QktW0JLD5xG_2BklmSg7gotwUR8oZ3TtIbWdCVshoWV5A4y	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Administration 2	ODEP ETM Generic PRA Form Feb 2024_Admin2.docx	https://www.surveymonkey.com/r/Preview/?sm=nTcNqV_2B47bRiLYtUB7oBG6dYBfxz_2BT0QXkYkgjGcdtZa8XwTN5jHv8qYWNI0W2Kz	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	ODEP ETM Generic PRA Form Feb 2024_SS.docx	02/09/2024
email invitation to survey	ODEP ETM Generic PRA Form Feb 2024_email invitation.docx	02/09/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.