Information Collection

[PHIC] 2025 PHAP Host Site Supervisor Survey (STLT)

IC 277352 under ICR 202504-0920-025 · OMB 0920-1163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1163 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PHAP Host Site Supervisor Survey [PHIC] 2025 PHAP Host Site Supervisor Survey (STLT)	Form and Instruction
PHAP Host Site Supervisor Survey Att1_HS Surv-STLT_Word.docx	Form and Instruction
Att2_PHAP HSS STLT_Scr.pdf PHAP Host Site Supervisor Survey (Screenshots)	IC Document
Att3_PHAP HSS STLT Inv-RemEM.docx Invitation/Reminder Email	IC Document
GenIC PHAP HSS STLT_v2_final.docx GenIC Request Template	IC Document

IC Title:

[PHIC] 2025 PHAP Host Site Supervisor Survey (STLT)

Agency IC Tracking Number:

0920-25-0162

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 and Instruction	n/a				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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PHAP Host Site Supervisor Survey (Screenshots)		09/02/2025
Invitation/Reminder Email		09/02/2025
GenIC Request Template		09/02/2025

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

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