Information Collection

ABA Impact Evaluation Baseline Survey – participants

IC 262691 under ICR 202502-1290-001 · OMB 1290-0046.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 14 - Baseline Survey and Consent Form for Program Participants_v2_clean.docx	Other-Survey and Consent Form
3 5 25_Attachment 14 - Baseline Survey and Consent Form for Program Participants_v2_clean.docx	Other-Survey and Consent Form

IC Title:

ABA Impact Evaluation Baseline Survey â participants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Survey and Consent Form					Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,334

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,334	1,334
Annual IC Time Burden (Hours)	440	440
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.

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