Information Collection

[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey

IC 273641 under ICR 202505-0920-006 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 [OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey	Form and Instruction
Form 0920-1050 WAI - RETENTION SURVEY [OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey	Form and Instruction
0920-1050 WAI - RETENTION SURVEY Att A WAI Retention Survey.docx	Form and Instruction
0920-1050 WAI - RETENTION SURVEY Att A WAI Retention Survey.docx	Form and Instruction
Template WAI Retention.docx 0920-1050 GenIC Request Template - Retention Survey	IC Document
Template WAI Retention.docx 0920-1050 GenIC Request Template - Retention Survey	IC Document
SSA WAI Retention.docx Supproting Statement A - Summary	IC Document
SSA WAI Retention.docx Supproting Statement A - Summary	IC Document

IC Title:

[OPHDST] Workforce Acceleration Initiative (WAI) Retention Survey

Agency IC Tracking Number:

0920-1050-25CV

IC Status: Unchanged

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	0920-1050			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: 49

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
	Requested	Previously Approved
Annual Number of Responses for this IC	49	49
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1050 GenIC Request Template - Retention Survey		01/14/2025
Supproting Statement A - Summary		01/14/2025

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

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