Information Collection

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

IC 265111 under ICR 202506-1225-001 · OMB 1225-0088.

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 Equitable Transition Models (ETM) Grant Direct Service Provider Customer Satisfaction Survey Form and Instruction
Administration 2 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 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
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_SS.docx Supporting Statement IC Document
ODEP ETM Generic PRA Form Feb 2024_email invitation.docx email invitation to survey IC Document
ODEP ETM Generic PRA Form Feb 2024_email invitation.docx email invitation to survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

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

Federal Enterprise Architecture Business Reference Module

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.

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